ELLEN ELLIS

NEW YORK, NY
NPI1952708364
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  154539)
Enumeration Date2014-12-01
Last Update Date2017-01-19
Business Address
-- ELLEN ELLIS D.O.
67 PARK AVE #12B
NEW YORK, NY 10016-2557
Phone number: 516-650-8444
Mailing Address
-- ELLEN ELLIS D.O.
67 PARK AVE #12B
NEW YORK, NY 10016-2557
Phone number: 516-650-8444