Organization
ELLISTON PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME HILLIARD (PRACTICE MANAGER)
(443) 286-7750
Entity
Organization
Contact information
Practice address
82 NASSAU ST # 60518, NEW YORK, NY 10038-3703
(917) 746-2455
(917) 746-9649
Mailing address
82 NASSAU ST # 60518, NEW YORK, NY 10038-3703
(917) 746-2455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
04/20/2026
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