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1952708364
ELLEN ELLIS
NEW YORK, NY
NPI
1952708364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 154539)
Enumeration Date
2014-12-01
Last Update Date
2017-01-19
Business Address
-- ELLEN ELLIS D.O.
67 PARK AVE #12B
NEW YORK, NY 10016-2557
Phone number: 516-650-8444
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Mailing Address
-- ELLEN ELLIS D.O.
67 PARK AVE #12B
NEW YORK, NY 10016-2557
Phone number: 516-650-8444
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