Individual
DAVID G ELLIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 689-1901
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 689-1901
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
183604
NY
Other
Enumeration date
01/30/2006
Last updated
07/08/2007
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