Individual
DR. MARY ELLEN EMBORSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0220
(716) 323-0293
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0220
(716) 323-0293
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
228134
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026388701
UNIVERA
—
01
—
000527296001
BC/BS
—
05
—
02396683
—
NY
01
—
040426003102
FIDELIS
—
01
—
1292496
IHA
—
Enumeration date
01/09/2008
Last updated
09/01/2022
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