Individual
DR. MARIE ELAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 SPINDRIFT DR, WILLIAMSVILLE, NY 14221-7800
(716) 631-2500
Mailing address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
278564-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04156176
—
NY
Enumeration date
06/21/2009
Last updated
07/09/2024
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