National Provider Identifier
Coty Angel Ellis, DPM
Coty Angel Ellis, DPM is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 862-1000.
Profile Overview
- NPI
- 1609635275
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 18, 2024
- Last Updated
- March 18, 2024
Practice Location
- 2157 Main St
- Buffalo, NY 14214-2692
Phone: (716) 862-1000
Mailing Address
- 9704 Luckwood Ct
- Mint Hill, NC 28227-5591
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1609635275
- Entity Type
- Individual
- Last Name
- Ellis
- First Name
- Coty
- Middle Name
- Angel
- Name Prefix
- Mr.
- Credential
- DPM
- Mailing Street Address
- 9704 Luckwood Ct
- Mailing City
- Mint Hill
- Mailing State
- NC
- Mailing ZIP Code
- 28227-5591
- Mailing Country
- US
- Mailing Phone
- (704) 231-8911
- Practice Street Address
- 2157 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-2692
- Practice Country
- US
- Practice Phone
- (716) 862-1000
- Enumeration Date
- March 18, 2024
- Last Updated
- March 18, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- March 16, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)