National Provider Identifier
Elise R Gill, PA
Elise R Gill, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 883-0515.
Profile Overview
- NPI
- 1942549977
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 12, 2013
- Last Updated
- December 06, 2016
Practice Location
- 656 Elmwood Ave
- Buffalo, NY 14222-1836
Phone: (716) 883-0515
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1942549977
- Entity Type
- Individual
- Last Name
- Gill
- First Name
- Elise
- Middle Name
- R
- Credential
- PA
- Provider Other Last Name
- Cruce
- Provider Other First Name
- Elise
- Provider Other Middle Name
- R
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 656 Elmwood Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14222-1836
- Mailing Country
- US
- Mailing Phone
- (716) 883-0515
- Mailing Fax
- (716) 883-8764
- Practice Street Address
- 656 Elmwood Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14222-1836
- Practice Country
- US
- Practice Phone
- (716) 883-0515
- Practice Fax
- (716) 883-8764
- Enumeration Date
- February 12, 2013
- Last Updated
- December 06, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)