DR. ELLISA PEAN DO
NPI 1629863329
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 12, 2025

450 CLARKSON AVE, BROOKLYN, NY 11203(718) 270-1984 Get Directions Write a Review

NPPES record last updated: April 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Ellisa Pean Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELLISA PEAN DO (NPI 1629863329) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1629863329

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. ELLISA PEANCredential: DO

Location Address450 CLARKSON AVEBrooklyn, NY 11203-2012

Mailing Address250 Clarkson AveBrooklyn, NY 11226-2185

Phone(718) 270-1984

Sole ProprietorNo

Enumeration DateApril 12, 2025

NPPES CertifiedApril 9, 2025

✔ NPI 1629863329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

450 CLARKSON AVE, Brooklyn, NY 11203

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