Individual
DR. ELLEN DAILOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-2141
(585) 756-0169
Mailing address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-2141
(585) 756-0169
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
216168
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026234401
UNIVERA PROVIDER#
—
01
—
000921072001
BS WNY/HEALTHNOW#
NY
05
—
02350030
—
NY
01
—
050090168
RAILROAD MEDICARE
NY
01
—
2222
BLUE SHIELD GROUP
NY
01
—
361288
MVP PROVIDER#
NY
01
—
7664441
AETNA
NY
01
—
MDH322
PREFERRED CARE
NY
01
—
ME133662
STATE LICENSE
FL
01
—
P010216168
BLUE CHOICE
NY
Enumeration date
07/17/2006
Last updated
07/05/2023
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