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

Raymond S Ellis, ATC

Individual provider Athletic Trainer · NPI 1851814024

Raymond S Ellis, ATC is an Athletic Trainer in Riverhead, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

74 Commerce Dr #3
Riverhead, NY 11947
Phone: (631) 369-9110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (NY)

Record details

NPI number1851814024
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 19, 2017
Last updated in NPPESJuly 19, 2017

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