ELLEN KOFFLER

STATEN ISLAND, NY
NPI1164460317
Former NameELLEN LAWRENCE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  149195)
Enumeration Date2006-06-02
Last Update Date2007-07-08
Business Address
Dr. ELLEN KOFFLER MD
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-6902
Mailing Address
Dr. ELLEN KOFFLER MD
1 EDGEWATER ST SUITE 723
STATEN ISLAND, NY 10305-4900
Phone number: 718-226-1008
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