Organization
ELISE C DELUKE M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISE C DELUKE MD (CEO)
(716) 970-4140
Entity
Organization
Contact information
Practice address
4949 MAIN ST, AMHERST, NY 14226-4070
(716) 970-4140
Mailing address
4949 MAIN ST, AMHERST, NY 14226-4070
(716) 970-4140
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
04/13/2016
Last updated
10/04/2016
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