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Ellis Masterman
NPI 1275201469 · on the registry since 2021
Practice
- Address
- 490 Driggs Ave
Brooklyn, NY 11211 - Phone
- (718) 230-1180
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York