Individual
DR. RACHEL FREMDER ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
358 S OYSTER BAY RD, HICKSVILLE, NY 11801-3508
(516) 822-7546
Mailing address
358 S OYSTER BAY RD, HICKSVILLE, NY 11801-3508
(516) 822-7546
(516) 937-7546
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
240262-1
NY
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
240262
NY
Other
Enumeration date
02/04/2007
Last updated
03/14/2019
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