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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689314924

Ellen Mary Piccillo, MD is a Student in an Organized Health Care Education/Training Program in Buffalo, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1237 Delaware Ave
Buffalo, NY 14209-1435
Phone: (716) 362-9585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1689314924
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESApril 1, 2022
Certification dateApril 1, 2022

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