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Alisa Ruth Ellis
Specialist in Melville, New York
NPI 1992297394

Alisa Ruth Ellis is a Specialist based in Melville, NY. Alisa Ruth Ellis practices in Melville, NY. The NPI Number for Alisa Ruth Ellis is 1992297394 and holds a License No. 449280 (New York).

The current practice location address for Alisa Ruth Ellis is 2320 Court North Dr, Melville, NY and can be reached out via phone at 631-424-0842.

Location: 2320 Court North Dr, Melville, NY, 11747-8147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992297394
Provider Name
Alisa Ruth Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
2320 Court North Dr, Melville, NY, 11747-8147
Phone Number
631-424-0842
Fax Number
Provider Enumeration Date
05/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2320 Court North Dr
City
Melville
State
New York
Zip
11747-8147
Phone Number
631-424-0842
Fax Number
person
Provider Business Mailing Address Details
Address
2320 Court North Dr
City
Melville
State
New York
Zip
11747-8147
Phone Number
631-424-0842
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
449280 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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