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Contact Information

SUZANNE M BELLANTE ELLIS, OD
WARWICK OPTICAL
25 ELM STREET
WARWICK, NY10990
 Phone: 845-987-7333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SUZANNE M BELLANTE ELLIS · (Female)

NPI # 1992788921
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/23/2005
Last updated 02/07/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # TUV0057891
  • NY Medicaid 02118358
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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