Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountainside Healthcare

Organization Family Medicine Physician · NPI 1083710743

Mountainside Healthcare is a Family Medicine Physician in Ellicottville, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

39 Mill St
Ellicottville, NY 14731-9702
Phone: (716) 699-2588
Fax: (716) 699-2618
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 332052 (NY)

Record details

NPI number1083710743
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Margaret Kent — Owner · (716) 699-2588
NPI enumeratedSeptember 16, 2006
Last updated in NPPESAugust 22, 2020
Mailing address39 Mill St, Ellicottville, NY 14731-9702

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