ELLIS PRATHER

ASTORIA, NY
NPI1720861438
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: NY  421714)
Enumeration Date2023-08-16
Last Update Date2024-01-24
Business Address
ELLIS PRATHER NP
2818 ASTORIA BLVD
ASTORIA, NY 11102-4751
Phone number: 917-410-6905
Mailing Address
ELLIS PRATHER NP
36 1ST AVE
BOSTON, MA 02129-4557
Phone number: 413-687-5911