Organization
FREDERICK MICHAEL ELLIOTT, MD, PLLC
Active
Other names
Elmwood Village Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK MICHAEL ELLIOTT MD (PHYSICIAN AND OWNER)
(716) 768-2006
Entity
Organization
Contact information
Practice address
897 DELAWARE AVE STE 205, BUFFALO, NY 14209-2087
(716) 768-2006
(716) 768-2007
Mailing address
897 DELAWARE AVE STE 205, BUFFALO, NY 14209-2087
(716) 768-2006
(716) 768-2007
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
236287
NY
Other
Enumeration date
01/26/2013
Last updated
01/26/2013
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