Ellis, Nitza F

Ellis, Nitza F is an individual health care provider with primary practice located at 1131 Delaware Ave , Buffalo NY 14209-1603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Ellis, Nitza F can be contacted via phone (716) 884-0230.

Contact Information

Primary practice address
1131 Delaware Ave Buffalo NY 14209-1603
Phone: (716) 884-0230
Fax: (716) 884-2415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 137951 New York

Profile Details

NPI number 1740266451
LBN Legal business name Ellis, Nitza F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jul 8th, 2007 - about 17 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 1740266451 NPPES
New York Other 00010050901 UNIVERA
New York MEDICAID 01029556 UNIVERA
New York Other 1206842 UNIVERA

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