Individual
ELISE R GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
656 ELMWOOD AVE, BUFFALO, NY 14222-1836
(716) 883-0515
(716) 883-8764
Mailing address
656 ELMWOOD AVE, BUFFALO, NY 14222-1836
(716) 883-0515
(716) 883-8764
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016392
NY
Other
Enumeration date
02/12/2013
Last updated
12/06/2016
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