| Ellis Hospital | |
|
1023 State St Schenectady NY 12307-1511 | |
| (518) 243-3300 | |
| (518) 377-9151 |
| Full Name | Ellis Hospital |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1023 State St, Schenectady, New York |
| Authorized Official Name and Position | Paul A Milton (CEO) |
| Authorized Official Contact | 5182434000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Hospital 1023 State St Schenectady NY 12307-1511 Ph: (518) 243-3300 | Ellis Hospital 1023 State St Schenectady NY 12307-1511 Ph: (518) 243-3300 |
| NPI Number | 1497949622 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 03/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497949622 | NPI | - | NPPES |
| 01207038 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 6525110A (New York) | Primary |
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