Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellenville Emergency Medical Associates PLLC

Organization Emergency Medicine Physician · NPI 1477945905

Ellenville Emergency Medical Associates PLLC is an Emergency Medicine Physician in Ellenville, New York. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10 Healthy Way
Ellenville, NY 12428-5612
Phone: (469) 401-2386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1477945905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fareed Fareed — Authorized Official · (917) 854-8007
NPI enumeratedFebruary 20, 2015
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing addressPo Box 781165, Philadelphia, PA 19178-1165

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