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

Lisa Ellis, PA-C

Individual provider Medical Physician Assistant · NPI 1750689865

Lisa Ellis, PA-C is a Medical Physician Assistant in Glenville, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

79 Glenridge Rd
Glenville, NY 12302-4528
Phone: (800) 989-6446
Show map & directions

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

Additional practice locations (1)

  • 435 2nd Ave, New York, NY 10010-3101 — (212) 726-6822

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 014613-1 (NY)

Record details

NPI number1750689865
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 14, 2011
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021

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