# ELLIS CHIROPRACTIC GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902083496
- **Authorized official:** ADAM ELLIS DC (PARTNER)
- **Authorized official phone:** (315) 732-3007

## Contact information

- **Practice address:** 122 BUSINESS PARK DR, UTICA, NY 13502-6321
- **Practice address phone:** (315) 732-3007
- **Practice address fax:** (315) 732-3175
- **Mailing address:** 122 BUSINESS PARK DR, UTICA, NY 13502-6321
- **Mailing address phone:** (315) 732-3007
- **Mailing address fax:** (315) 732-3175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X10055 | NY | Yes |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 01/28/2008