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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALISA RUTH ELLIS

Active Sole Proprietor

ALISA RUTH ELLIS is a Specialist healthcare provider located in MELVILLE, New York. NPI 1992297394 is currently active in the NPPES registry. Verify at CMS.

Specialist · MELVILLE, NY

Registration Details

NPI Number
1992297394
Provider Type
Individual
Gender
Female
NPI Issued
May 31, 2018 (8.2285850798229 yrs)
Last Updated
May 31, 2018
License
449280 (NY)
Sole Proprietor
Yes

Practice Information

Address
2320 COURT NORTH DR
MELVILLE, NY, 117478147
Browse NY providers · Browse ZIP 11747
Phone
6314240842
Primary Specialty
Specialist
174400000X

Other Specialist Providers in MELVILLE, NY

Name Credential NPI
DR. STEVEN W WINTER M.D. 1831148832
DR. LEE POMERANZ M.D. 1518986298
MRS. BECKI NAOMI BOUSSIDAN M.S. ED 1548308125
MRS. SUNANDA BATRA PT 1982747408
MS. MARY H. TENG OTR 1922256627
MS. LILLIE GATEWOOD 1396056750
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.