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

Alisa Ruth Ellis

Individual provider Specialist · NPI 1992297394

Alisa Ruth Ellis is a Specialist in Melville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
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Practice location Address checks out

2320 Court North Dr
Melville, NY 11747-8147
Phone: (631) 424-0842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 449280 (NY)

Record details

NPI number1992297394
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 31, 2018
Last updated in NPPESMay 31, 2018
Mailing address2320 Court North Dr, Melville, NY 11747-8147

Other providers in Melville