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

Alisa Ruth Ellis

Individual provider Specialist · NPI 1992297394

Alisa Ruth Ellis is a Specialist in Melville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
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Practice location Address checks out

2320 Court North Dr
Melville, NY 11747-8147
Phone: (631) 424-0842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 449280 (NY)

Record details

NPI number1992297394
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 31, 2018
Last updated in NPPESMay 31, 2018

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