Individual
MICHAEL A PELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 ORCHARD PARK RD, A103, WEST SENECA, NY 14224-2646
(716) 677-5500
(716) 677-5008
Mailing address
550 ORCHARD PARK RD, A103, WEST SENECA, NY 14224-2646
(716) 677-5500
(716) 677-5008
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
198878
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010197101
UNIVERA
NY
05
—
01651981
—
NY
01
—
1708440
INDEPENDENT HEALTH
NY
01
—
3174894
AETNA
NY
01
—
S1988781
WORKERS COMPENSATION
NY
Enumeration date
07/28/2005
Last updated
02/28/2008
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