| NPI | 1972077386 |
|---|---|
| Doing Business As | ELLIS MEDICINE - DIABETES CARE |
| Entity Type | Organization |
| Authorized Contact | MARC D. MESICK Chief Financial Officer 518-243-4144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-03-18 |