Individual
CHARLES C ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GUSTAVE L LEVY PL, ANESTHESIOLOGY - BOX 1010, NEW YORK, NY 10029-6500
(800) 627-4470
(412) 937-5710
Mailing address
PO BOX 5024, NEW YORK, NY 10087-5024
(800) 627-4470
(800) 627-4470
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
243685
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02890155
—
NY
Enumeration date
05/29/2007
Last updated
07/24/2013
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