Ellie, Carmen Jay

Ellie, Carmen Jay is an individual health care provider with primary practice located at 191 N Main St , Wellsville NY 14895-1150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Ellie, Carmen Jay can be contacted via phone (585) 235-1514.

Contact Information

Primary practice address
191 N Main St Wellsville NY 14895-1150
Phone: (585) 235-1514
Fax: (585) 426-4997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 191341-1 New York

Profile Details

NPI number 1922042225
LBN Legal business name Ellie, Carmen Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jan 11th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922042225 NPPES
New York Other 110179566 RRM LEGACY#
New York Other 000523980003 RRM LEGACY#
New York MEDICAID 01487365 RRM LEGACY#
New York Other P00392597 RRM LEGACY#

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