Individual
JEREMY J KILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
818 ELLICOTT ST, BUFFALO, NY 14203-1021
(716) 323-0220
(716) 323-0293
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0220
(716) 323-0293
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
250163
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
250163
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03038740
—
NY
Enumeration date
09/04/2008
Last updated
01/13/2021
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