Individual
DR. ELLIE JEAN COROMILAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
173 FORT WASHINGTON AVE, NEW YORK, NY 10032-3739
(212) 305-8559
(212) 305-8944
Mailing address
173 FORT WASHINGTON AVE, NEW YORK, NY 10032-3739
(212) 305-8559
(212) 305-8944
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
293233
NY
207RC0000X
Cardiovascular Disease Physician
293233
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
293233
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2015
Last updated
05/05/2023
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