National Provider Identifier

Marie Elise Land, MA

Marie Elise Land, MA is listed in the NPPES registry with a primary specialty of Specialist in Buffalo, NY and a listed phone number of (914) 310-0630.

NPI 1396005088Buffalo, NYSpecialist

Profile Overview

NPI
1396005088
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
May 29, 2012
Last Updated
May 29, 2012

Practice Location

  • 107 Hartwell RD
  • Buffalo, NY 14216-1703

Phone: (914) 310-0630

Specialties

  • Specialist (174400000X)
Full Record
NPI
1396005088
Entity Type
Individual
Last Name
Land
First Name
Marie
Middle Name
Elise
Name Prefix
MS.
Credential
MA
Mailing Street Address
107 Hartwell RD
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14216-1703
Mailing Country
US
Mailing Phone
(914) 310-0630
Practice Street Address
107 Hartwell RD
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14216-1703
Practice Country
US
Practice Phone
(914) 310-0630
Enumeration Date
May 29, 2012
Last Updated
May 29, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)