Individual
ELLIE BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(646) 746-5454
Mailing address
333 E 56TH ST APT 8B, NEW YORK, NY 10022-3761
(516) 428-1271
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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