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Ellis Enabosi, M.D
NPI 1669866158 · on the registry since 2015
Practice
- Address
- 455 Jersey St
Staten Island, NY 10301 - Phone
- (187) 524-5611
- Organisation at this address
- Progressive Medical Pllc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 460 N Maple Ave, East Orange, NJ
- 2015 Grand Concourse, Bronx, NY
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Also registered as
- General Practice Physician
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-08
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