SearchNew York174400000X

Alisa Ellis

NPI 1992297394 · on the registry since 2018 · sole proprietor

Practice

Address
2320 Court North Dr
Melville, NY 11747
Phone
(631) 424-0842

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-05-31

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