ELLEN MELLOW MD

MAIDEN LANE MEDICAL PLLC

Dr ELLEN MELLOW MD is a female medical professional, specializing in Cardiovascular Disease (cardiology). She graduated in 1980 from Cornell University Medical College.

Contact

MAIDEN LANE MEDICAL PLLC

90 MAIDEN LN
FL 3
NEW YORK
NY
100384831

Tel: 6462909560

ELLEN MELLOW MD Information

Npi 1366444259
Pac Id 4486631678
Professional Enrollment Id I20040706000931
Last Name MELLOW
First Name ELLEN
Middle Name
Suffix
Gender F
Credential MD
Medical School Name CORNELL UNIVERSITY MEDICAL COLLEGE
Graduation Year 1980
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Secondary Specialty 1 INTERNAL MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties INTERNAL MEDICINE
Organization Legal Name MAIDEN LANE MEDICAL PLLC
Group Practice Pac Id 2365728698
Number Of Group Practice Members 22
Line 1 Street Address 90 MAIDEN LN
Line 2 Street Address FL 3
Marker Of Address Line 2 Suppression
City NEW YORK
State NY
Zip Code 100384831
Phone Number 6462909560
Hospital Affiliation Ccn 1 330101
Hospital Affiliation Lbn 1 NEW YORK-PRESBYTERIAN HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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