Individual
ELLIE SERRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1359 FRANKFORD AVE, PHILADELPHIA, PA 19125-3235
(215) 395-7546
Mailing address
28 COLONY LN, MANHASSET, NY 11030-2014
(516) 606-2198
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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