Individual provider · Type 1 NPI

Lisa Ellis, PA-C

Medical Physician Assistant · Glenville, NY

NPI number 1750689865 Active

Practice location

79 Glenridge Rd
Glenville, NY 12302-4528

Other practice locations

  • 435 2nd Ave, 2nd Floor, New York, NY 10010-3101 · (212) 726-6822

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X014613-1 (NY)

Medical Physician Assistant: Definition to come...

15 other providers at this address

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About NPI 1750689865

Lisa Ellis, PA-C's National Provider Identifier is 1750689865, issued on Mar 14, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Glenville, NY. The record was last updated on Aug 19, 2021.