Individual
CARLA UNIQUE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2311 SOUTHERN BLVD APT 1104, BRONX, NY 10460-1091
(347) 757-2936
Mailing address
2311 SOUTHERN BLVD APT 1104, BRONX, NY 10460-1091
(347) 757-2936
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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