National Provider Identifier
Emilie Ellicott, DO
Emilie Ellicott, DO is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Rochester, NY and a listed phone number of (585) 601-2600.
Profile Overview
- NPI
- 1801110697
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- March 23, 2010
- Last Updated
- January 19, 2024
Practice Location
- 1200 Jefferson RD
- Suite 115
- Rochester, NY 14623
Phone: (585) 601-2600
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1801110697
- Entity Type
- Individual
- Last Name
- Ellicott
- First Name
- Emilie
- Name Prefix
- MS.
- Credential
- DO
- Mailing Street Address
- 1200 Jefferson RD
- Mailing Address Line 2
- Suite 115
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623
- Mailing Country
- US
- Mailing Phone
- (585) 601-2600
- Mailing Fax
- (585) 229-6008
- Practice Street Address
- 1200 Jefferson RD
- Practice Address Line 2
- Suite 115
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623
- Practice Country
- US
- Practice Phone
- (585) 601-2600
- Practice Fax
- (585) 229-6008
- Enumeration Date
- March 23, 2010
- Last Updated
- January 19, 2024
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 03872891 (NY)