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

Brian Ellsworth

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447115407

Brian Ellsworth is a Student in an Organized Health Care Education/Training Program in Syracuse, New York. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

301 Prospect Ave
Syracuse, NY 13203-1899
Phone: (315) 448-5111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1447115407
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 22, 2025
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

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