Individual
MS. REBECCA ELLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1365 WASHINGTON AVE STE 300, ALBANY, NY 12206-1098
(518) 489-4704
(518) 810-0043
Mailing address
1365 WASHINGTON AVE STE 300, ALBANY, NY 12206-1098
(518) 489-4704
(518) 810-0043
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013029
NY
Other
Enumeration date
04/08/2009
Last updated
05/15/2020
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