National Provider Identifier
Josephine Ellis, MD
Josephine Ellis, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Rochester, NY and a listed phone number of (585) 244-7330.
Profile Overview
- NPI
- 1225186901
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- January 08, 2007
- Last Updated
- February 27, 2018
Practice Location
- 2561 Lac De Ville Blvd
- Suite 202
- Rochester, NY 14618-5645
Phone: (585) 244-7330
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1225186901
- Entity Type
- Individual
- Last Name
- Ellis
- First Name
- Josephine
- Credential
- MD
- Provider Other Last Name
- Thangathurai
- Provider Other First Name
- Josephine
- Provider Other Credential Text
- MBBS
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 2561 Lac De Ville Blvd
- Mailing Address Line 2
- Suite 202
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-5645
- Mailing Country
- US
- Mailing Phone
- (585) 244-7330
- Mailing Fax
- (585) 244-6958
- Practice Street Address
- 2561 Lac De Ville Blvd
- Practice Address Line 2
- Suite 202
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-5645
- Practice Country
- US
- Practice Phone
- (585) 244-7330
- Practice Fax
- (585) 244-6958
- Enumeration Date
- January 08, 2007
- Last Updated
- February 27, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 02862655 (NY)