| NPI | 1821850868 |
|---|---|
| Doing Business As | ELLIS MEDICINE MEDICAL ONCOLOGY |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN WICKS Manager Accounts Receivable 518-382-2313 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QX0200X Clinic/Center, Oncology |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |