Individual
ELLEN MCSTRAVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
462 GRIDER ST FL 9, BUFFALO, NY 14215-3021
(716) 898-3198
Mailing address
163 MERRYMONT RD, CHEEKTOWAGA, NY 14225-1503
(716) 319-0508
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
309652
NY
Other
Enumeration date
09/18/2020
Last updated
09/14/2021
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