Individual
MRS. DEBBIE-ANN KATHEEN ELLINGTON-TULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
550 MONTAUK HWY, SHIRLEY, NY 11967-2114
(631) 490-3040
Mailing address
550 MONTAUK HWY, SHIRLEY, NY 11967-2114
(631) 490-3040
(631) 490-3055
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
005626
CT
Other
Enumeration date
01/06/2014
Last updated
09/30/2020
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