DEBORAH ELLIS

SUNRISE COUNSELING CENTER,LTD

Dr DEBORAH ELLIS is a female medical professional, specializing in Clinical Social Worker. She graduated in 1976.

Contact

SUNRISE COUNSELING CENTER,LTD

107 W MAIN ST
EAST ISLIP
NY
117302337

Tel: 6316661615

DEBORAH ELLIS Information

Npi 1922319961
Pac Id 5092092072
Professional Enrollment Id I20170428000951
Last Name ELLIS
First Name DEBORAH
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1976
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SUNRISE COUNSELING CENTER,LTD
Group Practice Pac Id 8224210232
Number Of Group Practice Members 14
Line 1 Street Address 107 W MAIN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAST ISLIP
State NY
Zip Code 117302337
Phone Number 6316661615
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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