Ellicottville Medical
Ellicottville Medical is a Pediatrics Physician in Ellicottville, New York. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
5 Park SqEllicottville, NY 14731-7014
Phone: (716) 257-4397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X |
|---|
Record details
| NPI number | 1902566748 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Katelyn Johnson-Clark — Owner · (941) 441-7804 |
| NPI enumerated | December 21, 2021 |
| Last updated in NPPES | December 21, 2021 |
| Certification date | December 21, 2021 |
| Mailing address | Po Box 1252, Ellicottville, NY 14731-1252 |
Other providers in Ellicottville
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Dr. Katelyn Elizabeth Johnson-Clark, DO
5 Park Sq, Ellicottville, NY 14731-7014 · (716) 257-4397