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Organization

ELLIS HOSPITAL

Active
Parent organization
ELLIS HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
ELLIS HOSPITAL
Authorized official
PAUL A MILTON (PRESIDENT & CEO)
(518) 243-4141
Entity
Organization

Contact information

Practice address
1101 NOTT ST, SCHENECTADY, NY 12308
(518) 243-4000
Mailing address
600 MCCLELLAN ST, 2 WEST, SCHENECTADY, NY 12304-1009
(518) 347-5400

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4601001H
NY
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
4601001H
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
4601001H
NY
2084P0800X
Psychiatry Physician
4601001H
NY
208600000X
Surgery Physician
4601001H
NY
208M00000X
Hospitalist Physician
4601001H
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03177066
NY
Enumeration date
08/17/2009
Last updated
08/15/2018
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