Provider Demographics
NPI:1427265081
Name:HIGGINS, ELLEN M (FNP)
Entity type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:M
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:50 DAYTON LN
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2859
Mailing Address - Country:US
Mailing Address - Phone:914-739-0087
Mailing Address - Fax:914-737-1714
Practice Address - Street 1:1756 ROUTE 9D
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:NY
Practice Address - Zip Code:10516-2619
Practice Address - Country:US
Practice Address - Phone:845-809-5661
Practice Address - Fax:845-809-5663
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2014-09-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF3334491363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE76272Medicare UPIN