ELLEN BLANK

STATEN ISLAND, NY
NPI1033282900
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: NY  25MA03293600)
Enumeration Date2006-11-16
Last Update Date2007-07-08
Business Address
-- ELLEN BLANK MD
1122 RICHMOND ROAD
STATEN ISLAND, NY 10304
Phone number: 718-987-3300
Mailing Address
-- ELLEN BLANK MD
333 AVENUE C
BAYONNE, NJ 07002
Phone number: 201-858-4800
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