Cassandra Ellis

Specialty details in registry · Bronx, NY

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At a glance

1816 Edison Ave Apt 2C, Bronx, NY 10461-4194

NPPES record updated Oct 13, 2016. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1816 Edison Ave Apt 2C
Bronx, NY 10461-4194
Professional details: NPI, taxonomy & registry record
NPI1861942989
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251E00000X
Enumeration date
Oct 13, 2016
Record updated
Oct 13, 2016
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251E00000X · Primary

License reported: 326741 NY

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1816 Edison Ave Apt 2C
Bronx, NY 10461-4194
Phone
(914) 314-8182
Mailing address
1816 EDISON AVE APT 2C

BRONX, NY 104614194
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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