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1790879013
JACK ELLENBERG
NEW YORK, NY
NPI
1790879013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 089526)
Enumeration Date
2006-10-03
Last Update Date
2012-08-31
Business Address
JACK ELLENBERG MD
239 CENTRAL PARK W
NEW YORK, NY 10024-6038
Phone number: 212-873-1291
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Mailing Address
JACK ELLENBERG MD
239 CENTRAL PARK W
NEW YORK, NY 10024-6038
Phone number: 212-873-1291
Copy
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