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1659682219
MARK KENNETH ELLIS
NEW YORK, NY
NPI
1659682219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: AZ R72186)
Enumeration Date
2010-06-29
Last Update Date
2014-06-02
Business Address
-- MARK KENNETH ELLIS M.D.
2 5TH AVE APT 2D
NEW YORK, NY 10011-8832
Phone number: 914-393-2368
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Mailing Address
-- MARK KENNETH ELLIS M.D.
2 5TH AVE APT 2D
NEW YORK, NY 10011-8832
Phone number: 914-393-2368
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