National Provider Identifier
Nicole Ellison
Nicole Ellison is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 275-4912.
Profile Overview
- NPI
- 1679224406
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 13, 2022
- Last Updated
- July 13, 2023
Practice Location
- 601 Elmwood Ave.
- Rochester, NY 14642-0001
Phone: (585) 275-4912
Mailing Address
- 601 Elmwood Ave Box Med
- Rochester, NY 14642-0001
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1679224406
- Entity Type
- Individual
- Last Name
- Ellison
- First Name
- Nicole
- Mailing Street Address
- 601 Elmwood Ave Box Med
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-4912
- Practice Street Address
- 601 Elmwood Ave.
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-4912
- Practice Fax
- (585) 276-2144
- Enumeration Date
- January 13, 2022
- Last Updated
- July 13, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)