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Michael Ellis, P.T.A
NPI 1275713273 · on the registry since 2007
Practice
- Address
- 1655 Richmond Ave
Suite B102
Staten Island, NY 10314 - Phone
- (718) 370-3500
- Fax
- (718) 370-9724
- Organisation at this address
- Richard Bodian, Pt
Richmond Medical Care Pc
Soma Medical Services, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York