JASON A ELLIS

NORTH SHORE-LIJ MEDICAL PC

Dr JASON A ELLIS is a male medical professional, specializing in Neurosurgery. He graduated in 2009 from Columbia University College Of Physicians And Surgeons.

Contact

NORTH SHORE-LIJ MEDICAL PC

27005 76TH AVE
NEW HYDE PARK
NY
110401402

Tel: 7184707000

JASON A ELLIS Information

Npi 1629244884
Pac Id 4880984434
Professional Enrollment Id I20170516002543
Last Name ELLIS
First Name JASON
Middle Name A
Suffix
Gender M
Credential
Medical School Name COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year 2009
Primary Specialty NEUROSURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTH SHORE-LIJ MEDICAL PC
Group Practice Pac Id 3375701568
Number Of Group Practice Members 3220
Line 1 Street Address 27005 76TH AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City NEW HYDE PARK
State NY
Zip Code 110401402
Phone Number 7184707000
Hospital Affiliation Ccn 1 330119
Hospital Affiliation Lbn 1 LENOX HILL HOSPITAL
Hospital Affiliation Ccn 2 330221
Hospital Affiliation Lbn 2 WYCKOFF HEIGHTS MEDICAL CENTER
Hospital Affiliation Ccn 3 330195
Hospital Affiliation Lbn 3 NS/LIJ HS LONG ISLAND JEWISH MEDICAL CENTER
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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