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Stephanie Ellsworth
NPI 1689164360 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1 Sir Bills Cir
Johnstown, NY 12095 - Phone
- (518) 762-4661
- Fax
- (518) 736-1489
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-17
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