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Carmen J Ellie, JR.

  • Male

Medical Specialty

Professional ID

  • NPI: 1922042225
  • PECOS ID: 7618964040
  • Enrollment ID: I20040428000604
  • Credential(MD, DO, DPM): MD
  • Medical School:
  • Medical School Graduation Year: 1988

Hospital Service

  • Hospital CCN1: 330108
  • Business Name (LBN)1: St Josephs Hospital, Inc
  • Hospital CCN2: 330144
  • Business Name (LBN)2: Ira Davenport Memorial Hospital, Inc
  • Hospital CCN3: 330096
  • Business Name (LBN)3: Jones Memorial Hospital
  • Hospital CCN4: 330132
  • Business Name (LBN)4: Tlc Health Network
  • Hospital CCN5: 331317
  • Business Name (LBN)5: Lewis County General Hospital

Medical Practices

  • Organization Name: Workfit Medical Llc
  • Group Practice ID assigned by PECOS: 3678709557
  • Number of Group Practice member: 20

Location

  • Address1: 1160 Chili Ave
  • Address2: Suite 200
  • City: Rochester
  • State: New York
  • Zip Code: 14624
  • Phone Number: (585)500-4814

Medical Practices

  • Organization Name: The Memorial Hospital Of William F And Gertrude F Jones Inc
  • Group Practice ID assigned by PECOS: 7012828486
  • Number of Group Practice member: 36

Location

  • Address1: 191 N Main St
  • Address2:
  • City: Wellsville
  • State: New York
  • Zip Code: 14895
  • Phone Number: (585)593-1100

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):