Individual
ALEXANDER ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATR-BC, LCAT
Contact information
Practice address
286 5TH AVE FL 10, NEW YORK, NY 10001-4512
(917) 476-0539
Mailing address
286 5TH AVE FL 10, NEW YORK, NY 10001-4512
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002955
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/11/2020
Last updated
01/30/2024
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