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Organization

ELLSTROM ANESTHESIA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN J. ELLSTROM M.D. (OWNER)
(970) 331-5454
Entity
Organization

Contact information

Practice address
407 9TH ST, BROOKLYN, NY 11215-4101
(970) 331-5454
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2035
(631) 264-1418

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
260995
NY

Other

Enumeration date
10/03/2012
Last updated
10/03/2012
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