Provider Demographics
NPI:1912024373
Name:SCHERL, ELLEN J (MD)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:J
Last Name:SCHERL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 YORK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5304
Mailing Address - Country:US
Mailing Address - Phone:212-746-5077
Mailing Address - Fax:212-746-8144
Practice Address - Street 1:1315 YORK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5304
Practice Address - Country:US
Practice Address - Phone:212-746-5077
Practice Address - Fax:212-746-8144
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY140628207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
95A691Medicare ID - Type Unspecified