Ellen Bucobo, PA-C
Ellen Bucobo, PA-C is a Surgical Physician Assistant in New York, New York. Practices as a sole proprietor. Licensed in California and New York.
- Licensed in
- CA, NY
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1275 York AveNew York, NY 10065-6007
Phone: (212) 639-2024
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 011440 (NY) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence PA20222 (CA) |
Record details
| NPI number | 1144376054 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | January 25, 2007 |
| Last updated in NPPES | March 11, 2020 |
| Certification date | March 11, 2020 |
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