Stephanie Ellis
Peer Specialist in New York, NY. Individual provider (NPI-1).
NPI number1699424366
StatusActive
Last updated in NPPESMar 21, 2022
Details
- NPI
- 1699424366
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Ellis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 21, 2022
- Certification date
- Mar 21, 2022
- Last updated
- Mar 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | 330768990 | NY | Yes |
Practice location
135 W 50th St Fl 6New York, NY 10020-1201
Phone 212-582-9100
Mailing address
3004 Heath Ave Apt 33Bronx, NY 10463-5962
Phone 347-786-4058
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