Elliott, W. Clayton

Elliott, W. Clayton is an individual health care provider with primary practice located at 90 Presidential Plz Firm C, Syracuse NY 13202-2240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Elliott, W. Clayton can be contacted via phone (315) 464-3834.

Contact Information

Primary practice address
90 Presidential Plz Firm C Syracuse NY 13202-2240
Fax: (315) 464-3837
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 150258 New York

Profile Details

NPI number 1891723805
LBN Legal business name Elliott, W. Clayton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated May 19th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891723805 NPPES
New York MEDICAID 00721375

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