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

Ellen Blank, MD

Individual provider Dermatology Physician · NPI 1033282900

Ellen Blank, MD is a Dermatology Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1122 Richmond Rd
Staten Island, NY 10304
Phone: (718) 987-3300
Fax: (718) 987-3451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 25MA03293600 (NY)

Record details

NPI number1033282900
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 16, 2006
Last updated in NPPESJuly 8, 2007

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