Individual
ELLEN E BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1150 YOUNGS RD STE 104, WILLIAMSVILLE, NY 14221-8096
(716) 636-7979
(716) 636-7993
Mailing address
1150 YOUNGS RD STE 104, WILLIAMSVILLE, NY 14221-8096
(716) 636-7979
(716) 636-7993
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F343343
NY
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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