Ellis, Diana E
Ellis, Diana E is an individual health care provider with primary practice located at 350 Parrish St , Canandaigua NY 14424-1731. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Ellis, Diana E can be contacted via phone (585) 396-6565.Contact Information
Primary practice address
350 Parrish St
Canandaigua NY 14424-1731
Phone: (585) 396-6565
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 158160 | New York |
Profile Details
| NPI number | 1306853544 |
|---|---|
| LBN Legal business name | Ellis, Diana E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Apr 28th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306853544 | NPPES |
| New York | MEDICAID | 01160856 |
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