ALISA RUTH ELLIS

MELVILLE, NY
NPI1992297394
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: NY  449280)
Enumeration Date2018-05-31
Last Update Date2018-05-31
Business Address
ALISA RUTH ELLIS
2320 COURT NORTH DR
MELVILLE, NY 11747-8147
Phone number: 631-424-0842
Mailing Address
ALISA RUTH ELLIS
2320 COURT NORTH DR
MELVILLE, NY 11747-8147
Phone number: 631-424-0842