Ellis, Lori J

Ellis, Lori J is an individual health care provider with primary practice located at 260 E Middle Country Rd Suite 107, Smithtown NY 11787-2982. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ellis, Lori J can be contacted via phone (631) 979-7222.

Contact Information

Primary practice address
260 E Middle Country Rd Suite 107 Smithtown NY 11787-2982
Phone: (631) 979-7222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 264115 New York

Profile Details

NPI number 1467687756
LBN Legal business name Ellis, Lori J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2009
Last updated May 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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