National Provider Identifier
Ellis E Gomez, MD
Ellis E Gomez, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Buffalo, NY and a listed phone number of (716) 875-2904.
Profile Overview
- NPI
- 1912991878
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- September 07, 2005
- Last Updated
- January 27, 2012
Practice Location
- 155 Lawn Ave
- Buffalo, NY 14207-1816
Phone: (716) 875-2904
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1912991878
- Entity Type
- Individual
- Last Name
- Gomez
- First Name
- Ellis
- Middle Name
- E
- Credential
- MD
- Mailing Street Address
- 155 Lawn Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14207-1816
- Mailing Country
- US
- Mailing Phone
- (716) 875-2904
- Mailing Fax
- (716) 875-6717
- Practice Street Address
- 155 Lawn Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14207-1816
- Practice Country
- US
- Practice Phone
- (716) 875-2904
- Practice Fax
- (716) 875-6717
- Enumeration Date
- September 07, 2005
- Last Updated
- January 27, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 01446551 (NY)