Emilie Ellicott, DO
Pediatrics in Rochester, NY. Individual provider (NPI-1).
NPI number1801110697
StatusActive
Last updated in NPPESJan 19, 2024
Details
- NPI
- 1801110697
- Entity type
- Individual (NPI-1)
- Name
- Ms. Emilie Ellicott
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2010
- Last updated
- Jan 19, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 270080 | NY | Yes |
Practice location
1200 Jefferson RdSuite 115
Rochester, NY 14623
Phone 585-601-2600 · Fax 585-229-6008
Mailing address
1200 Jefferson RdSuite 115
Rochester, NY 14623
Phone 585-601-2600 · Fax 585-229-6008
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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