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1790386399
CARL ELLISTON
NEW YORK, NY
NPI
1790386399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0205X Radiology, Radiological Physics
(Licence: NY 000507)
Enumeration Date
2020-11-02
Last Update Date
2020-11-02
Business Address
CARL ELLISTON DABR
622 W 168TH ST DEPARTMENT OF RADIATION ONCOLOGY
NEW YORK, NY 10032
Phone number: 212-305-4295
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Mailing Address
CARL ELLISTON DABR
153 MANHASSET AVE
MANHASSET, NY 11030-2219
Phone number: 917-501-2367
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