Individual
ELYSE S NEMOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4635 UNION RD, CHEEKTOWAGA, NY 14225-1851
(716) 505-5700
(716) 633-9351
Mailing address
80 SQUIRE DR, ORCHARD PARK, NY 14127-3432
(716) 662-5729
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001698-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027430301
UNIVERA
NY
Enumeration date
08/17/2006
Last updated
07/08/2007
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