Jack Ellenberg, MD
Psychiatry · New York, NY
UnclaimedMDNPI 1790879013
- Primary taxonomy
- 2084P0800X
- Enumerated
- 2006-10-03
- Practice location
- New York, NY
- Last NPPES update
- 2012-08-31
State licenses
- NY · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.