National Provider Identifier
Elena Marie Watt, PA
Elena Marie Watt, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Grand Island, NY and a listed phone number of (716) 868-7465.
Profile Overview
- NPI
- 1972085397
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 01, 2018
- Last Updated
- September 01, 2018
Practice Location
- 263 Forest Creek Ln
- Grand Island, NY 14072-3507
Phone: (716) 868-7465
Mailing Address
- 263 Forest Creek Ln
- Grand Island, NY 14072
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1972085397
- Entity Type
- Individual
- Last Name
- Watt
- First Name
- Elena
- Middle Name
- Marie
- Credential
- PA
- Mailing Street Address
- 263 Forest Creek Ln
- Mailing City
- Grand Island
- Mailing State
- NY
- Mailing ZIP Code
- 14072
- Mailing Country
- US
- Mailing Phone
- (716) 868-7465
- Practice Street Address
- 263 Forest Creek Ln
- Practice City
- Grand Island
- Practice State
- NY
- Practice ZIP Code
- 14072-3507
- Practice Country
- US
- Practice Phone
- (716) 868-7465
- Enumeration Date
- September 01, 2018
- Last Updated
- September 01, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)