YANIQUE TAVIA ELLIS

BALDWIN, NY
NPI1093382939
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: TX  V0728)
Enumeration Date2021-06-09
Last Update Date2024-11-27
Business Address
Ms. YANIQUE TAVIA ELLIS MD
184 MADISON AVE
BALDWIN, NY 11510
Phone number: 646-875-0538
Mailing Address
Ms. YANIQUE TAVIA ELLIS MD
184 MADISON AVE
BALDWIN, NY 11510
Phone number:
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