Individual
MS. JUDITH M ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-6225
(718) 240-8063
Mailing address
296 ROCKAWAY PKWY, BROOKLYN, NY 11212-3352
(718) 485-2383
(718) 485-2383
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F381716-1
NY
Other
Enumeration date
08/16/2005
Last updated
07/08/2007
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