Individual
HEATHER MARIE TERRITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
818 ELLICOTT ST, BUFFALO, NY 14203-1021
(716) 323-0220
(716) 323-0293
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0220
(716) 323-0293
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
258011
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03584512
—
NY
Enumeration date
08/07/2008
Last updated
01/20/2021
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