Individual
DR. ANTHONY P ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
361 CARROLL ST, SUITE 1A, BROOKLYN, NY 11231-5064
(718) 282-3031
Mailing address
361 CARROLL ST, SUITE 1A, BROOKLYN, NY 11231-5064
(718) 282-3031
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
225100000X
Physical Therapist
Primary
034180
NY
2251G0304X
Geriatric Physical Therapist
034180
NY
2251N0400X
Neurology Physical Therapist
034180
NY
2251P0200X
Pediatric Physical Therapist
034180
NY
2251S0007X
Sports Physical Therapist
034180
NY
2251X0800X
Orthopedic Physical Therapist
034180
NY
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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