Stephanie Clark Ellis, L.AC.

NPI #1609914217 in Rosendale, New York

Provider Information

NPI Number: 1609914217
Entity Type: Individual
Name: Stephanie Clark Ellis, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC.
Enumeration Date: Feb 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 110 CREEK LOCKS RD
City: Rosendale
State: New York
ZIP Code: 12472-9678
Phone: (845) 546-5358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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