Debra Ellis, is a
Registered Nurse based in Kew Gardens Hills, New York. Debra Ellis is licensed to practice in New York (license number 953349) and her current practice location is
7525 153rd St Apt 202, Kew Gardens Hills, New York. She can be reached at her office (for appointments etc.) via phone at
(347) 942-7043.
NPI number for Debra Ellis is 1336074665 and her current mailing address is 265 Broadhollow Rd Ste 200, Melville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336074665.
Provider's Profile
| Full Name | Debra Ellis |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 7525 153rd St Apt 202, Kew Gardens Hills, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336074665
- Provider Enumeration Date: 06/17/2026
- Last Update Date: 06/17/2026
Medical Identifiers
Medical identifiers for Debra Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336074665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 953349 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Debra Ellis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Debra Ellis, 265 Broadhollow Rd Ste 200, Melville, NY 11747-4833 Ph: () - | Debra Ellis, 7525 153rd St Apt 202, Kew Gardens Hills, NY 11367-3091 Ph: (347) 942-7043 |
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