Individual
DR. LAUREN NOELLE ELLISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1060 5TH AVE STE 1A, NEW YORK, NY 10128-0104
(516) 672-2943
Mailing address
130 E 77TH ST, NEW YORK, NY 10075-1851
(516) 672-2943
(516) 616-1117
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
262869
NY
Other
Enumeration date
06/26/2008
Last updated
04/20/2026
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