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

Individual provider Speech-Language Pathologist · NPI 1609146588

Mrs. Susan Ann Ellenis, MS is a Speech-Language Pathologist in East Northport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

25 Brian Ln
East Northport, NY 11731-3810
Phone: (631) 486-1079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 4719 (NY)

Record details

NPI number1609146588
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorYes
NPI enumeratedJanuary 9, 2012
Last updated in NPPESJanuary 9, 2012

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