Individual
ELIJAH J VENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
71 SAGE AVE, UPPER, BUFFALO, NY 14210
(716) 946-3814
Mailing address
71 SAGE AVE UPPR, BUFFALO, NY 14210-1821
(716) 946-3814
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
441044
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
441044
EMT
NY
Enumeration date
07/31/2017
Last updated
07/31/2017
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