Individual
ANDREA ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 SUN CREEK LN, STONE RIDGE, NY 12484-5639
(845) 750-8700
Mailing address
8 SUN CREEK LN, STONE RIDGE, NY 12484-5639
(845) 750-8700
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005981
NY
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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