Search › New York › 363AM0700X
Lisa Ellis, PA-C
NPI 1750689865 · on the registry since 2011
Practice
- Address
- 79 Glenridge Rd
Glenville, NY 12302 - Phone
- (800) 989-6446
- Organisation at this address
- Conifer Park, Inc
Conifer Park, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Additional practice sites
- 435 2nd Ave, New York, NY
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-19
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