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Individual

DR. CONSTANCE NZELLE EBONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1001 S GEORGE ST, YORK, PA 17403-3676
(717) 851-2304
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35.081209
OH
2084P0800X
Psychiatry Physician
Primary
MD426497
PA
2084P0802X
Addiction Psychiatry Physician
MD426497
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03261100
CAPITAL BLUE CROSS
PA
05
101308236
PA
01
1737478
PA BLUE SHIELD
PA
01
2144099
MAMSI
PA
01
2239500
CIGNA BEHAVIORAL HEALTH
PA
05
3086299
OH
01
537535
VALUE OPTIONS
PA
01
646136-01
BC/BS OF MD CARE FIRST
PA
01
793763000
MAGELLAN
PA
01
P00241086
MEDICARE RAILROAD
PA
01
P01006215
MEDICARE RAILROAD
OH
Enumeration date
06/10/2006
Last updated
03/27/2026
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