Individual
DR. ELIZABETH DENISE DITONTO, MD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3215
(716) 898-5713
Mailing address
338 HARRIS HILL RD, SUITE 207, WILLIAMSVILLE, NY 14221-7470
(716) 634-4798
(716) 634-0987
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
197365
NY
208VP0000X
Pain Medicine Physician
Primary
197365
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720017825
—
NY
Enumeration date
07/01/2006
Last updated
01/31/2012
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