National Provider Identifier
Elizabeth Marie Moden, DC
Elizabeth Marie Moden, DC is listed in the NPPES registry with a primary specialty of Chiropractor in Buffalo, NY and a listed phone number of (716) 863-3133.
Profile Overview
- NPI
- 1669018065
- Provider Type
- Individual
- Primary Specialty
- Chiropractor
- Enumeration Date
- November 20, 2019
- Last Updated
- November 20, 2019
Practice Location
- 3685 Harlem RD Ste 3
- Buffalo, NY 14215-2046
Phone: (716) 863-3133
Mailing Address
- 4561 Lewis Dr
- Hamburg, NY 14075-5428
Specialties
- Chiropractor (111N00000X)
Full Record
- NPI
- 1669018065
- Entity Type
- Individual
- Last Name
- Moden
- First Name
- Elizabeth
- Middle Name
- Marie
- Credential
- DC
- Mailing Street Address
- 4561 Lewis Dr
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-5428
- Mailing Country
- US
- Mailing Phone
- (716) 863-3133
- Practice Street Address
- 3685 Harlem RD Ste 3
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-2046
- Practice Country
- US
- Practice Phone
- (716) 863-3133
- Enumeration Date
- November 20, 2019
- Last Updated
- November 20, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X)