Individual
ELLEN VILORIA CELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 BRADLEY AVENUE, STATEN ISLAND, NY 10314
(718) 370-0299
Mailing address
100 BRADLEY AVENUE, STATEN ISLAND, NY 10314
(718) 370-0299
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
152582
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00790203
—
NY
Enumeration date
01/11/2010
Last updated
01/11/2010
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