National Provider Identifier
Stephanie Anne Ellis, PA-C
Stephanie Anne Ellis, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Geneva, NY and a listed phone number of (315) 789-5061.
Profile Overview
- NPI
- 1780037788
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 14, 2016
- Last Updated
- July 14, 2016
Practice Location
- 789 Pre Emption RD
- Geneva, NY 14456-2069
Phone: (315) 789-5061
Mailing Address
- 45 Argyle St
- Rochester, NY 14607-2301
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1780037788
- Entity Type
- Individual
- Last Name
- Ellis
- First Name
- Stephanie
- Middle Name
- Anne
- Credential
- PA-C
- Mailing Street Address
- 45 Argyle St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-2301
- Mailing Country
- US
- Mailing Phone
- (518) 653-7821
- Practice Street Address
- 789 Pre Emption RD
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-2069
- Practice Country
- US
- Practice Phone
- (315) 789-5061
- Enumeration Date
- July 14, 2016
- Last Updated
- July 14, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)