Individual
ELIZABETH ANNE FRECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 S CAYUGA RD, WILLIAMSVILLE, NY 14221-6728
(716) 632-1089
Mailing address
30 S CAYUGA RD, WILLIAMSVILLE, NY 14221-6728
(716) 632-1089
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2009-00929
NC
207L00000X
Anesthesiology Physician
Primary
276033-1
NY
207L00000X
Anesthesiology Physician
D72597
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046747200
—
MD
05
—
5913693
—
NC
Enumeration date
02/10/2009
Last updated
02/22/2021
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