National Provider Identifier
Carmen Jay Ellie Jr., MD
Carmen Jay Ellie Jr., MD is listed in the NPPES registry with a primary specialty of Emergency Medical Services (Emergency Medicine) Physician in Wellsville, NY and a listed phone number of (585) 235-1514.
Profile Overview
- NPI
- 1922042225
- Provider Type
- Individual
- Primary Specialty
- Emergency Medical Services (Emergency Medicine) Physician
- Enumeration Date
- June 16, 2006
- Last Updated
- January 11, 2011
Practice Location
- 191 N Main St
- Wellsville, NY 14895-1150
Phone: (585) 235-1514
Mailing Address
- 345 Country Woods Ln
- Rochester, NY 14626-4701
Specialties
- Emergency Medical Services (Emergency Medicine) Physician (207PE0004X)
Full Record
- NPI
- 1922042225
- Entity Type
- Individual
- Last Name
- Ellie
- First Name
- Carmen
- Middle Name
- Jay
- Name Prefix
- Dr.
- Name Suffix
- Jr.
- Credential
- MD
- Mailing Street Address
- 345 Country Woods Ln
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4701
- Mailing Country
- US
- Mailing Phone
- (585) 225-9230
- Mailing Fax
- (585) 225-9739
- Practice Street Address
- 191 N Main St
- Practice City
- Wellsville
- Practice State
- NY
- Practice ZIP Code
- 14895-1150
- Practice Country
- US
- Practice Phone
- (585) 235-1514
- Practice Fax
- (585) 426-4997
- Enumeration Date
- June 16, 2006
- Last Updated
- January 11, 2011
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medical Services (Emergency Medicine) Physician (207PE0004X)
- Other Identifiers
- 110179566 (NY, Rrm Legacy#), 000523980003 (NY, BCBS), 01487365 (NY), P00392597 (NY, Railroad)