Ellis W Lader in Kingston - Cardiovascular Disease
Ellis W Lader - NPI 1538151782
Ellis W Lader is a Cardiovascular Disease in Kingston, New York. Ellis W Lader practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Ellis W Lader is 1538151782. The last update date is 2021-12-22.
Ellis W Lader's current location address is 111 Mary's Ave, Kingston, New York. You can contact this provider via phone number 8453393663 and fax number 8453393629. The mailing address for Ellis W Lader is 111 Mary's Ave, Kingston, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellis W Lader |
|---|---|
| Address | 111 Mary's Ave, Kingston, New York |
| Phone Number | 8453393663 |
| Fax Number | 8453393629 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1538151782 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2021-12-22 |
Provider Mailing Address Detail
| Address | 111 Mary's Ave |
|---|---|
| City | Kingston |
| State | New York (NY) |
| Post Code | 124015853 |
| Phone Number | 8453393663 |
| Fax Number | 8453393629 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 140598 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 747562 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ellis W Lader by the Centers for Medicare & Medicaid Services?
The Ellis W Lader has been issued the NPI (National Provider Identifier) 1538151782 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Ellis W Lader is physically located?
The Ellis W Lader is situated at the following address: 111 Mary'S Ave, Kingston, NY 124015853.
What is Ellis W Lader's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ellis W Lader's area of specialization is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Rc0000X.
When did Ellis W Lader receive its 1538151782 assignment?
The Ellis W Lader was assigned its 1538151782 on 2005-08-15, which is the date when this unique identifier was issued to the organization.
When was the Ellis W Lader's information last updated?
The Ellis W Lader's information was last updated on 2021-12-22.