Individual
ENTELA PONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
832 WALDEN AVE, BUFFALO, NY 14211-2639
(716) 381-9046
(716) 436-3187
Mailing address
832 WALDEN AVE, BUFFALO, NY 14211-2639
(716) 381-9046
(716) 436-3187
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
272508
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J400235162
MEDICARE NUMBER
NY
Enumeration date
11/23/2010
Last updated
06/23/2016
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