Stephanie Anne Ellis, PA-C

NPI #1780037788 in Geneva, New York

Provider Information

NPI Number: 1780037788
Entity Type: Individual
Name: Stephanie Anne Ellis, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 14, 2016
Last Updated: Jul 14, 2016

Practice Location

Address: 789 PRE EMPTION RD
City: Geneva
State: New York
ZIP Code: 14456-2069
Phone: (315) 789-5061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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