DEREK ELLIS

NEW YORK, NY
NPI1720372857
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-06-07
Last Update Date2011-06-07
Business Address
Mr. DEREK ELLIS
311 W 35TH ST
NEW YORK, NY 10001-1701
Phone number: 212-736-5900
Mailing Address
Mr. DEREK ELLIS
311 W 35TH ST
NEW YORK, NY 10001-1701
Phone number: 212-736-5900
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