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Individual

ELLIS ROCHELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(844) 478-3627
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
281423
NY
208000000X
Pediatrics Physician
281423
NY
2080P0202X
Pediatric Cardiology Physician
Primary
281423
NY

Other

Enumeration date
03/27/2014
Last updated
02/05/2025
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