Athanail, Ellen M
Athanail, Ellen M is an sole proprietor health care provider with primary practice located at 268 Bay Ridge Pkwy Suite #1A, Brooklyn NY 11209-2452. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Athanail, Ellen M can be contacted via phone (718) 921-5191.Contact Information
Primary practice address
268 Bay Ridge Pkwy Suite #1A
Brooklyn NY 11209-2452
Phone: (718) 921-5191
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | X0059321 | New York |
Profile Details
| NPI number | 1164423901 |
|---|---|
| LBN Legal business name | Athanail, Ellen M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Aug 10th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164423901 | NPPES |
| New York | Other | 11-3023392 | EMPIRE BLUE CROSS |
| New York | Other | 11-3023392 | EMPIRE BLUE CROSS |
| New York | Other | 456269 | EMPIRE BLUE CROSS |
| New York | Other | 11-3023392 | EMPIRE BLUE CROSS |
| New York | Other | 11-3023392 | EMPIRE BLUE CROSS |
| New York | Other | 0740341 | EMPIRE BLUE CROSS |
| New York | Other | P414897 | EMPIRE BLUE CROSS |
| New York | Other | 11-3023392 | EMPIRE BLUE CROSS |
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