Individual
DR. JAMES W. ELLIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
80 E 11TH ST, STE. 610, NEW YORK, NY 10003-6811
(212) 529-6288
Mailing address
501 W 123RD ST, APT.#MB, NEW YORK, NY 10027-5006
(212) 529-6288
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000042-1
NY
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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