Individual
MISS CHRISTIE A. ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9 JUNIPER CT, CORAM, NY 11727-1512
(631) 828-8554
Mailing address
9 JUNIPER CT, CORAM, NY 11727-1512
(631) 828-8554
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
636447
NY
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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