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1205809050
EARL ANTHONY ELLIS
BROOKLYN, NY
NPI
1205809050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 149280)
Enumeration Date
2006-02-10
Last Update Date
2012-06-04
Business Address
-- EARL ANTHONY ELLIS MD
66 RUTLAND RD
BROOKLYN, NY 11225-5313
Phone number: 718-282-4412
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Mailing Address
-- EARL ANTHONY ELLIS MD
66 RUTLAND RD
BROOKLYN, NY 11225-5313
Phone number: 718-282-4412
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