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Individual

DR. MARTY ELLINGTON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD MPH

Contact information

Practice address
100 E 77TH ST, DEPARTMENT OF PEDIATRICS, NEW YORK, NY 10021-1850
(212) 434-3351
(212) 434-3374
Mailing address
110 W 118TH ST, NEW YORK, NY 10026-1809
(212) 932-1011
(212) 932-3133

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
214363
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01977733
NY
Enumeration date
01/03/2007
Last updated
07/08/2007
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