Individual
DR. JOHN ELLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
338 HARRIS HILL RD, SUITE 207, WILLIAMSVILLE, NY 14221-7470
(716) 634-4798
(716) 634-0987
Mailing address
338 HARRIS HILL RD, SUITE 207, WILLIAMSVILLE, NY 14221-7470
(716) 634-4798
(716) 634-0987
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
142491-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00808080
—
NY
Enumeration date
08/04/2006
Last updated
06/29/2010
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