National Provider Identifier
Ellen Mary Piccillo, MD
Ellen Mary Piccillo, MD 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) 362-9585.
Profile Overview
- NPI
- 1689314924
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 01, 2022
- Last Updated
- April 01, 2022
Practice Location
- 1237 Delaware Ave
- Buffalo, NY 14209-1435
Phone: (716) 362-9585
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1689314924
- Entity Type
- Individual
- Last Name
- Piccillo
- First Name
- Ellen
- Middle Name
- Mary
- Credential
- MD
- Mailing Street Address
- 1237 Delaware Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209-1435
- Mailing Country
- US
- Mailing Phone
- (716) 362-9585
- Practice Street Address
- 1237 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-1435
- Practice Country
- US
- Practice Phone
- (716) 362-9585
- Enumeration Date
- April 01, 2022
- Last Updated
- April 01, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 01, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)