MICHAEL RAYMOND ELLIS

STATEN ISLAND, NY
NPI1275713273
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  003487-1)
Enumeration Date2007-11-07
Last Update Date2007-11-07
Business Address
-- MICHAEL RAYMOND ELLIS P.T.A.
1655 RICHMOND AVE SUITE B102
STATEN ISLAND, NY 10314-1570
Phone number: 718-370-3500
Mailing Address
-- MICHAEL RAYMOND ELLIS P.T.A.
1715 AVENUE T SUITE 2F
BROOKLYN, NY 11229-3429
Phone number: 718-336-8206