Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GAVIN N ELLIS
Active Sole ProprietorGAVIN N ELLIS is a Tumor Registrar healthcare provider located in BROOKLYN, New York. NPI 1710831532 is currently active in the NPPES registry. Verify at CMS.
Tumor Registrar · BROOKLYN, NY
Registration Details
- NPI Number
- 1710831532
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2026 (0.28002734991939 yrs)
- Last Updated
- Feb 26, 2026
- License
-
249953 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
686 CLEVELAND STBROOKLYN, NY, 112086312Browse NY providers · Browse ZIP 11208
- Phone
- 3477756801
- Primary Specialty
-
Tumor Registrar
246XS1301X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.