National Provider Identifier
Gary I. Elliott, RPA-C
Gary I. Elliott, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in West Seneca, NY and a listed phone number of (716) 712-0670.
Profile Overview
- NPI
- 1831223825
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 14, 2007
- Last Updated
- July 08, 2007
Practice Location
- 1900 Ridge RD
- Healthwiorks Wny
- West Seneca, NY 14224-3332
Phone: (716) 712-0670
Mailing Address
- 3604 Horton Ave
- Blasdell, NY 14219-2606
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1831223825
- Entity Type
- Individual
- Last Name
- Elliott
- First Name
- Gary
- Middle Name
- I.
- Credential
- RPA-C
- Mailing Street Address
- 3604 Horton Ave
- Mailing City
- Blasdell
- Mailing State
- NY
- Mailing ZIP Code
- 14219-2606
- Mailing Country
- US
- Mailing Phone
- (716) 823-8525
- Practice Street Address
- 1900 Ridge RD
- Practice Address Line 2
- Healthwiorks Wny
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-3332
- Practice Country
- US
- Practice Phone
- (716) 712-0670
- Practice Fax
- (716) 712-0674
- Enumeration Date
- March 14, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)