Individual provider · Type 1 NPI

Debra Ellis

Registered Nurse · Kew Gardens Hills, NY

NPI number 1336074665 Active

Practice location

7525 153rd St Apt 202
Kew Gardens Hills, NY 11367-3091

Mailing address

265 Broadhollow Rd Ste 200
Melville, NY 11747-4833

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X953349 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1336074665

Debra Ellis's National Provider Identifier is 1336074665, issued on Jun 17, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Kew Gardens Hills, NY. The record was last updated on Jun 17, 2026.