Ellen Marie Dombrowski | Valhalla, NY • PECOS Search

Ellen Marie Dombrowski

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

100 Grasslands Road, Valhalla, NY 10595

(914) 493-8585 (516) 319-6439

PECOS Enrollment

Based on the most recent information from CMS, provider Ellen Marie Dombrowski does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1437517406
Provider Type
Individual
Full Name
Dombrowski, Ellen Marie
Credential
FNP, DNP

Gender
Female
Sole Proprietor
No
Enumeration Date
2/5/2016
Last Updated
2/5/2016

Contact Information

Practice Location

100 Grasslands Road, Valhalla, NY 10595

Unlisted Fax

Mailing Location

5 Woodlawn Pl, Lynbrook, NY 11563-1423

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 336235 New York