MICHELLE R ELLIS

HARLEM MEDICAL GROUP PC

Dr MICHELLE R ELLIS is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.

Contact

HARLEM MEDICAL GROUP PC

392 BEDFORD PARK BLVD
BRONX
NY
104582415

Tel: 7183640100

MICHELLE R ELLIS Information

Npi 1851743017
Pac Id 3678858024
Professional Enrollment Id I20170327001063
Last Name ELLIS
First Name MICHELLE
Middle Name R
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HARLEM MEDICAL GROUP PC
Group Practice Pac Id 1557526431
Number Of Group Practice Members 6
Line 1 Street Address 392 BEDFORD PARK BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BRONX
State NY
Zip Code 104582415
Phone Number 7183640100
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

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