National Provider Identifier
Ely Personius
Ely Personius is listed in the NPPES registry with a primary specialty of Athletic Trainer in Buffalo, NY and a listed phone number of (716) 525-0846.
Profile Overview
- NPI
- 1821985797
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- June 23, 2025
- Last Updated
- June 23, 2025
Practice Location
- 95 Ivyhurst RD
- Buffalo, NY 14226-3414
Phone: (716) 525-0846
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1821985797
- Entity Type
- Individual
- Last Name
- Personius
- First Name
- Ely
- Mailing Street Address
- 95 Ivyhurst RD
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14226-3414
- Mailing Country
- US
- Practice Street Address
- 95 Ivyhurst RD
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14226-3414
- Practice Country
- US
- Practice Phone
- (716) 525-0846
- Enumeration Date
- June 23, 2025
- Last Updated
- June 23, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 23, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)