Vitievsky, Ellen
Vitievsky, Ellen is an sole proprietor health care provider with primary practice located at 5600 Kennedy Blvd W Suite 102, West New York NJ 07093-1256. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vitievsky, Ellen can be contacted via phone (201) 866-3100.Contact Information
Primary practice address
5600 Kennedy Blvd W Suite 102
West New York NJ 07093-1256
Phone: (201) 866-3100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07786200 | New Jersey |
Profile Details
| NPI number | 1366547135 |
|---|---|
| LBN Legal business name | Vitievsky, Ellen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Nov 29th, 2007 - about 19 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 | 1366547135 | NPPES |
| New Jersey | MEDICAID | 0076937 |
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