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1164460317
ELLEN KOFFLER
STATEN ISLAND, NY
NPI
1164460317
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Former Name
ELLEN LAWRENCE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 149195)
Enumeration Date
2006-06-02
Last Update Date
2007-07-08
Business Address
DR. ELLEN KOFFLER MD
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-6902
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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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