Individual
GAIL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
334 W STATE ST, ITHACA, NY 14850-5432
(607) 273-5500
(607) 273-1277
Mailing address
1028 ELLIS HOLLOW RD APT 212, ITHACA, NY 14850-2812
(631) 488-5815
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
352952
NY
Other
Enumeration date
03/28/2026
Last updated
03/28/2026
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