Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellinwood Nurse Practitioner in Family Health, PLLC

Organization Nurse Practitioner · NPI 1538776687

Ellinwood Nurse Practitioner in Family Health, PLLC is a Nurse Practitioner in New Hartford, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2 Ellinwood Dr
New Hartford, NY 13413-1102
Phone: (315) 507-5081
Fax: (315) 738-1663
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1538776687
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Czternastek — Nurse Practitioner/ Owner · (315) 507-5081
NPI enumeratedSeptember 23, 2020
Last updated in NPPESMarch 19, 2021
Certification dateMarch 19, 2021
Mailing address2 Ellinwood Dr, New Hartford, NY 13413-1102

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