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ELLISTON PEDIATRICS PLLC NPI 1497369615


NPI Information

NPI: 1497369615
Provider Name: ELLISTON PEDIATRICS, PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 33D2212675

Address:
82 NASSAU ST # 60518
NEW YORK, NY
ZIP 10038
Phone: (917) 746-2455
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ELLISTON PEDIATRICS, PLLC is a pediatrics in New York, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ELLISTON PEDIATRICS, PLLC NPI is 1497369615. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

82 NASSAU ST # 60518
NEW YORK, NY
ZIP 10038-703
Phone: (917) 746-2455
Fax: (917) 746-9649

The provider's authorized official is Jaime Hilliard .
The authorized official title is Practice Manager and has the following contact phone number (443) 286-7750.

The CLIA number assigned to this NPI record is 33D2212675 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/4/2020 and was last updated on 7/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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