Individual provider · Type 1 NPI

Trey S. Ellison

Specialist · Brooklyn, NY

NPI number 1902770134 Active

Practice location

1623 Kings Hwy
Brooklyn, NY 11229-1209

Call (718) 778-0485 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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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About NPI 1902770134

Trey S. Ellison's National Provider Identifier is 1902770134, issued on Oct 1, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brooklyn, NY. The record was last updated on Oct 1, 2025.