Individual
KARLENE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8000
Mailing address
760 BROADWAY, BROOKLYN, NY 11206-5317
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
006829
NY
Other
Enumeration date
10/27/2010
Last updated
04/19/2018
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