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ALISA RUTH ELLIS
NPI 1992297394
Specialist in Melville, NY

Active since May 31, 2018
2320 COURT NORTH DR, MELVILLE, NY 11747(631) 424-0842 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alisa Ruth Ellis NPPES

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

ALISA RUTH ELLIS (NPI 1992297394) is an individual specialist in Melville, New York, licensed in New York (449280) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1992297394
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameALISA RUTH ELLIS
Location Address2320 COURT NORTH DRMelville, NY 11747-8147
Mailing Address2320 Court North DrMelville, NY 11747-8147 · (631) 424-0842
Phone(631) 424-0842
Sole ProprietorYes
Enumeration DateMay 31, 2018
✔ NPI 1992297394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 449280
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2320 COURT NORTH DR, Melville, NY 11747
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alisa Ellis's NPI number?

The NPI number for Alisa Ellis is 1992297394. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Where is Alisa Ellis located?

Alisa Ellis practices at 2320 Court North Dr, Melville, NY 11747. The listed phone number is (631) 424-0842.

What is Alisa Ellis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Alisa Ellis was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.