Ellis, Michael Raymond

Ellis, Michael Raymond is an individual health care provider with primary practice located at 1655 Richmond Ave Suite B102, Staten Island NY 10314-1570. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Ellis, Michael Raymond can be contacted via phone (718) 370-3500.

Contact Information

Primary practice address
1655 Richmond Ave Suite B102 Staten Island NY 10314-1570
Phone: (718) 370-3500
Fax: (718) 370-9724
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 003487-1 New York

Profile Details

NPI number 1275713273
LBN Legal business name Ellis, Michael Raymond
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2007
Last updated Nov 7th, 2007 - about 18 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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