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.

NPI 1780037788Geneva, NYPhysician Assistant

Source: public NPPES record, last updated July 14, 2016. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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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
Taxonomies
Physician Assistant (363A00000X)