NPI | 1942062898 |
---|---|
Doing Business As | ELLIS MEDICINE - VASCULAR ASSOCIATES |
Entity Type | Organization |
Authorized Contact | CYNTHIA ANN WICKS Manager Accounts Receivable 518-382-2313 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2024-01-26 |
Last Update Date | 2024-01-26 |