Provider Demographics
NPI:1437252715
Name:NAMER, ELLEN LINDA (RPA-C)
Entity Type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:LINDA
Last Name:NAMER
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 W 73RD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3135
Mailing Address - Country:US
Mailing Address - Phone:212-595-2960
Mailing Address - Fax:212-447-9524
Practice Address - Street 1:200 MADISON AVENUE
Practice Address - Street 2:CENTRAL PARK PM&R
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-447-0300
Practice Address - Fax:212-447-9524
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006766363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical