Most Relevant Information
Provider Data
| NPI Number: | 1003019514 |
| Provider Name: | BRENNAN ELLIS M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 256992 |
Most Important Dates
| Enumeration Date: | 06/11/2007 |
| Last Updated: | 04/08/2011 |
Provider Practice Location
750 E ADAMS ST
SYRACUSE
NY
132102342
Practice Location Phone/Fax
| Phone: | 3154646202 |
| Fax: | 3154649501 |
Provider Mailing Location
750 E ADAMS ST
SYRACUSE
NY
132102342
Provider Mailing Phone/Fax
| Phone: | 3154646202 |
| Fax: | 3154649501 |