Organization
CASSANDRA ELLIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSANDRA ELLIS (LPN)
(914) 314-8182
Entity
Organization
Contact information
Practice address
1816 EDISON AVE APT 2C, BRONX, NY 10461-4194
(914) 314-8182
Mailing address
1816 EDISON AVE APT 2C, BRONX, NY 10461-4194
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
326741
NY
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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