Individual
MR. ROSS GEORGE ELLIOTT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
11 HAMILTON AVE, MONTICELLO, NY 12701-1319
(845) 794-8080
Mailing address
11 HAMILTON AVE, MONTICELLO, NY 12701-1319
(845) 794-8080
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
640028
NY
Other
Enumeration date
05/16/2015
Last updated
05/16/2015
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