National Provider Identifier
Prashula Ellsworth, PHYSICIAN ASSISTANT
Prashula Ellsworth, PHYSICIAN ASSISTANT is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 630-1164.
Profile Overview
- NPI
- 1013922723
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 30, 2006
- Last Updated
- September 21, 2011
Practice Location
- 6333 Main St
- Suite 2
- Williamsville, NY 14221-5800
Phone: (716) 630-1164
Mailing Address
- 6255 Sheridan Dr
- Suite 304
- Williamsville, NY 14221-4836
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1013922723
- Entity Type
- Individual
- Last Name
- Ellsworth
- First Name
- Prashula
- Credential
- PHYSICIAN ASSISTANT
- Mailing Street Address
- 6255 Sheridan Dr
- Mailing Address Line 2
- Suite 304
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-4836
- Mailing Country
- US
- Mailing Phone
- (716) 857-8666
- Mailing Fax
- (716) 857-8944
- Practice Street Address
- 6333 Main St
- Practice Address Line 2
- Suite 2
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5800
- Practice Country
- US
- Practice Phone
- (716) 630-1164
- Practice Fax
- (716) 630-2608
- Enumeration Date
- July 30, 2006
- Last Updated
- September 21, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 000570254007 (NY, Health Now), 161000580 (NY, Nova), 00026513001 (NY, Univera), 9512316 (NY, Iha)