Provider Demographics
NPI:1982662953
Name:DOLNANSKY, ELLEN S (MD)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:S
Last Name:DOLNANSKY
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 1:71 MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-5903
Mailing Address - Country:US
Mailing Address - Phone:617-262-0032
Mailing Address - Fax:
Practice Address - Street 1:71 MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-5903
Practice Address - Country:US
Practice Address - Phone:617-262-0032
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA737592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry