Individual
DR. REGGIE C ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 PATTERSON ST NE, WASHINGTON, DC 20002-3334
(202) 216-0245
Mailing address
40 PATTERSON ST NE, WASHINGTON, DC 20002-3334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
223883
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02366741
—
NY
Enumeration date
03/24/2006
Last updated
05/03/2012
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