Individual
ALEXANDER JOSEPH ELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTIONER
Contact information
Practice address
238 ORISKANY BLVD, WHITESBORO, NY 13492-1540
(315) 768-7181
(315) 768-7182
Mailing address
6682 STAGE RD, UTICA, NY 13502-6912
(315) 797-6728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
369122
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401301-1
NY
Other
Enumeration date
07/12/2010
Last updated
06/10/2024
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