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Ellen Mary Piccillo, MD
Student in an Organized Health Care Education/Training Program in Buffalo, New York
NPI 1689314924

Ellen Mary Piccillo is a Student in an Organized Health Care Education/Training Program based in Buffalo, NY. Ellen Mary Piccillo practices in Buffalo, NY and has the professional credentials of MD. The NPI Number for Ellen Mary Piccillo is 1689314924 and holds a License No. (New York).

The current practice location address for Ellen Mary Piccillo is 1237 Delaware Ave, Buffalo, NY and can be reached out via phone at 716-362-9585.

Location: 1237 Delaware Ave, Buffalo, NY, 14209-1435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689314924
Provider Name
Ellen Mary Piccillo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1237 Delaware Ave, Buffalo, NY, 14209-1435
Phone Number
716-362-9585
Fax Number
Provider Enumeration Date
04/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1237 Delaware Ave
City
Buffalo
State
New York
Zip
14209-1435
Phone Number
716-362-9585
Fax Number
person
Provider Business Mailing Address Details
Address
1237 Delaware Ave
City
Buffalo
State
New York
Zip
14209-1435
Phone Number
716-362-9585
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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