National Provider Identifier
Tatum Elyse Burdo, MD, MPH
Tatum Elyse Burdo, MD, MPH is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Bu, NY and a listed phone number of (716) 881-6191.
Profile Overview
- NPI
- 1306584891
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- May 24, 2022
- Last Updated
- August 12, 2022
Practice Location
- 184 Barton Street
- Jericho Road/Buffalo General Medical Center
- Bu, NY 14213
Phone: (716) 881-6191
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1306584891
- Entity Type
- Individual
- Last Name
- Burdo
- First Name
- Tatum
- Middle Name
- Elyse
- Name Prefix
- Mrs.
- Credential
- MD, MPH
- Mailing Street Address
- 184 Barton Street
- Mailing Address Line 2
- Jericho Road/Buffalo General Medical Center
- Mailing City
- Bu
- Mailing State
- NY
- Mailing ZIP Code
- 14213
- Mailing Country
- US
- Mailing Phone
- (716) 881-6191
- Practice Street Address
- 184 Barton Street
- Practice Address Line 2
- Jericho Road/Buffalo General Medical Center
- Practice City
- Bu
- Practice State
- NY
- Practice ZIP Code
- 14213
- Practice Country
- US
- Practice Phone
- (716) 881-6191
- Enumeration Date
- May 24, 2022
- Last Updated
- August 12, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 12, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)