person
Dr. John Ellie JR., DPM
Foot & Ankle Surgery Podiatrist in Rochester, New York
NPI 1427311455

John Ellie JR. is a Foot & Ankle Surgery Podiatrist based in Rochester, NY and is specialized in Foot & Ankle Surgery. John Ellie JR. practices in Rochester, NY and has the professional credentials of DPM. The NPI Number for John Ellie JR. is 1427311455 and holds a License No. 006649 (New York).

The current practice location address for John Ellie JR. is 1500 Portland Ave, Rochester, NY and can be reached out via phone at 585-642-6100 and via fax at 585-642-6111.

Location: 1500 Portland Ave, Rochester, NY, 14621
person
Provider Profile Details
NPI Number
1427311455
Provider Name
John Ellie JR.
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1500 Portland Ave, Rochester, NY, 14621
Phone Number
585-642-6100
Fax Number
585-642-6111
Provider Enumeration Date
06/25/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05448155 05 NY
04203352 05 NY
institution
Provider Business Practice Location Address Details
Address
1500 Portland Ave
City
State
Zip
14621-3065
Phone Number
585-642-6100
Fax Number
585-642-6111
person
Provider Business Mailing Address Details
Address
1500 Portland Ave
City
State
Zip
14621-3065
Phone Number
585-642-6100
Fax Number
585-642-6111
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
006649 (New York)
Definition
Definition to come...
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