Individual
DR. FREDERICK MICHAEL ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
897 DELAWARE AVE STE 205, BUFFALO, NY 14209-2087
(716) 768-2006
(716) 768-2007
Mailing address
897 DELAWARE AVE STE 205, BUFFALO, NY 14209-2087
(716) 768-2006
(716) 768-2007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
236287
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02686419
—
NY
Enumeration date
02/06/2006
Last updated
01/26/2013
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