Vanessa Ellsworth, B.S.

NPI #1356593032 in Victor, New York

Provider Information

NPI Number: 1356593032
Entity Type: Individual
Name: Vanessa Ellsworth, B.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: B.S.
Enumeration Date: Oct 14, 2008
Last Updated: Oct 14, 2008

Practice Location

Address: 590 FISHERS STATION DR
Address 2: SUITE 130
City: Victor
State: New York
ZIP Code: 14564-9744
Phone: (585) 924-7207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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