Individual
DARYL ROY EHLENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 FRANKLIN ST, BUFFALO, NY 14202-1110
(716) 332-4472
(716) 332-4474
Mailing address
560 FRANKLIN ST, BUFFALO, NY 14202-1110
(716) 332-4472
(716) 332-4474
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
209031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010364108
UNIVERA
NY
01
—
000525174009
COMMUNITY BLUE
NY
05
—
01856573
—
NY
01
—
040426001840
FIDELIS
NY
01
—
1201351
IHA
NY
01
—
144080DL
PREFERRED CARE
NY
Enumeration date
07/14/2005
Last updated
08/26/2014
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