Individual
ELLIOT JAMES DOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 NIAGARA ST, BUFFALO, NY 14201-1886
(716) 842-0440
Mailing address
430 NIAGARA ST, BUFFALO, NY 14201-1886
(716) 579-0286
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BR68156M
—
NY
Enumeration date
12/19/2019
Last updated
08/05/2020
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