Individual
MARK ELLIS GINSBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-3408
Mailing address
5A MEDICAL PARK DR, POMONA, NY 10970-3516
(845) 362-0075
(845) 362-1716
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
147810
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01025456
—
NY
Enumeration date
06/28/2005
Last updated
05/18/2023
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