NPI
Andrea Ellison
NPI 1114448057
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2017-06-30
- Last updated
- 2017-06-30
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Specialties
Licenses
- License NY
- 005981
Location
- Practice location
- 8 Sun Creek Ln
- City
- Stone Ridge NY
- Postal code
- 12484-5639
- Phone
- (845) 750-8700
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Stone Ridge, NY. 76 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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