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FREDERICK MICHAEL ELLIOTT MD PLLC NPI 1336487396


NPI Information

NPI: 1336487396
Provider Name: FREDERICK MICHAEL ELLIOTT, MD, PLLC

Doing Business As: ELMWOOD VILLAGE PRIMARY CARE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
897 DELAWARE AVE STE 205
BUFFALO, NY
ZIP 14209
Phone: (716) 768-2006
Get Directions

FREDERICK MICHAEL ELLIOTT, MD, PLLC is a clinic center in Buffalo, NY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FREDERICK MICHAEL ELLIOTT, MD, PLLC NPI is 1336487396. The provider is registered as an organization entity type.
The provider Is Doing Business As Elmwood Village Primary Care.

The provider's business location address is:

897 DELAWARE AVE STE 205
BUFFALO, NY
ZIP 14209-087
Phone: (716) 768-2006
Fax: (716) 768-2007

The provider's authorized official is Frederick Michael Elliott .
The authorized official title is Physician And Owner and has the following contact phone number (716) 768-2006.

The enumeration date for this NPI number is 1/26/2013 and was last updated on 1/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center236287NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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