National Provider Identifier
Nitza F Ellis, M.D.
Nitza F Ellis, M.D. is listed in the NPPES registry with a primary specialty of Pediatric Adolescent Medicine Physician in Buffalo, NY and a listed phone number of (716) 884-0230.
Profile Overview
- NPI
- 1740266451
- Provider Type
- Individual
- Primary Specialty
- Pediatric Adolescent Medicine Physician
- Enumeration Date
- December 15, 2005
- Last Updated
- July 08, 2007
Practice Location
- 1131 Delaware Ave
- Buffalo, NY 14209-1603
Phone: (716) 884-0230
Specialties
- Pediatric Adolescent Medicine Physician (2080A0000X)
Full Record
- NPI
- 1740266451
- Entity Type
- Individual
- Last Name
- Ellis
- First Name
- Nitza
- Middle Name
- F
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 1131 Delaware Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209-1603
- Mailing Country
- US
- Mailing Phone
- (716) 884-0230
- Mailing Fax
- (716) 884-2415
- Practice Street Address
- 1131 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-1603
- Practice Country
- US
- Practice Phone
- (716) 884-0230
- Practice Fax
- (716) 884-2415
- Enumeration Date
- December 15, 2005
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Adolescent Medicine Physician (2080A0000X)
- Other Identifiers
- 00010050901 (NY, Univera), 01029556 (NY), 1206842 (NY, Independent Health Assoc)