LORI J ELLIS

STONY BROOK CHILDREN'S SERVICE, UNIVERSITY FACULTY PRACTICE CORPORATIO

Dr LORI J ELLIS is a female medical professional, specializing in Pediatric Medicine. She graduated in 2009 from State University Of New York Downstate Medical Center.

Contact

STONY BROOK CHILDREN'S SERVICE, UNIVERSITY FACULTY PRACTICE CORPORATIO

2701 SUNRISE HWY
ISLIP TERRACE
NY
117522642

Tel: 6316382375

LORI J ELLIS Information

Npi 1467687756
Pac Id 9436449097
Professional Enrollment Id I20160609002194
Last Name ELLIS
First Name LORI
Middle Name J
Suffix
Gender F
Credential
Medical School Name STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year 2009
Primary Specialty PEDIATRIC MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name STONY BROOK CHILDREN'S SERVICE, UNIVERSITY FACULTY PRACTICE CORPORATIO
Group Practice Pac Id 8921993551
Number Of Group Practice Members 51
Line 1 Street Address 2701 SUNRISE HWY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ISLIP TERRACE
State NY
Zip Code 117522642
Phone Number 6316382375
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

Do you know LORI J ELLIS?

Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.