IndividualActive
Jeffrey Ellis, M.D.
NPI 1285748293 · Procedural Dermatology Physician · Hicksville, NY
Provider details
- NPI number
- 1285748293
- Entity type
- Individual
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 234545 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
358 S Oyster Bay Rd
Hicksville, NY 11801-3508
Phone: (516) 822-7546
Fax: (516) 937-7546
Approximate (ZIP-level) locationGet directions
Mailing address
358 S Oyster Bay Rd
Hicksville, NY 11801-3508
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2021-11-02
- Certified
- 2021-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.