Earl Ellis


Address: 66 Rutland Rd, Brooklyn, NY 11225-5313
Phone: 7182824412

Earl Ellis (NPI# 1205809050, PAC ID# 7214960947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1205809050
PAC ID by PECOS 7214960947
Professional Enrollment ID I20050914000189
Full Name Earl Ellis
Address 66 Rutland Rd
Brooklyn
NY 11225-5313
Phone Number 7182824412
Gender M
Credential MD
Medical School HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1980
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
66 Rutland Rd, Brooklyn, NY 11225-5313 7182824412

Organization Information

Office Location

Street Address 66 RUTLAND RD
City BROOKLYN
State NY
Zip 11225-5313

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Competitor

Search similar physicians

City BROOKLYN
Zip Code 11225
Specialty INTERNAL MEDICINE
City + Specialty BROOKLYN + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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