Gomez, Ellis E
Gomez, Ellis E is an individual health care provider with primary practice located at 155 Lawn Ave , Buffalo NY 14207-1816. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gomez, Ellis E can be contacted via phone (716) 875-2904.Contact Information
Primary practice address
155 Lawn Ave
Buffalo NY 14207-1816
Phone: (716) 875-2904
Fax: (716) 875-6717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1935561 | New York |
Profile Details
| NPI number | 1912991878 |
|---|---|
| LBN Legal business name | Gomez, Ellis E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Jan 27th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912991878 | NPPES |
| New York | MEDICAID | 01446551 |
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