Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ellinwood Nurse Practitioner in Family Health, PLLC

Organization Nurse Practitioner · NPI 1538776687

Ellinwood Nurse Practitioner in Family Health, PLLC provides Nurse Practitioner services in New Hartford, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2 Ellinwood Dr
New Hartford, NY 13413-1102
Phone: (315) 507-5081
Fax: (315) 738-1663
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1538776687
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Czternastek — Nurse Practitioner/ Owner · (315) 507-5081
NPI enumeratedSeptember 23, 2020
Last updated in NPPESMarch 19, 2021
Certification dateMarch 19, 2021
Mailing address2 Ellinwood Dr, New Hartford, NY 13413-1102

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