Individual provider · Type 1 NPI

Alisa Ruth Ellis

Specialist · Melville, NY

NPI number 1992297394 Active

Practice location

2320 Court North Dr
Melville, NY 11747-8147

Call (631) 424-0842 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X449280 (NY)

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.

Other specialist providers in Melville

See all in Melville →

About NPI 1992297394

Alisa Ruth Ellis's National Provider Identifier is 1992297394, issued on May 31, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Melville, NY. The record was last updated on May 31, 2018.