Individual
SHERRY J ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAIR SPECIALIST
Contact information
Practice address
123 LIVINGSTON AVE APT A-2, ALBANY, NY 12207-2318
(518) 210-4765
Mailing address
123 LIVINGSTON AVE APT A-2, ALBANY, NY 12207-2318
(518) 210-4765
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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