Ellen Mcstravick
Nurse Practitioner - Gerontology
462 Grider St Fl 9
Buffalo
, New York 14215-3021
Ellen Mcstravick
Nurse Practitioner - Gerontology
462 Grider St Fl 9
Buffalo
, New York 14215-3021
(716) 319-0508
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Ellen Mcstravick
- 163 Merrymont Rd
- Cheektowaga, NY
- Zip : 14225-1503
- Phone : (716) 319-0508
Second Address
- Ellen Mcstravick
- 462 Grider St Fl 9
- Buffalo, NY
- Zip : 14215-3021
- Phone : (716) 898-3198
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 309652 | NY |
National Provider Identifier
| NPI | 1083220677 |
|---|---|
| Provider Name | Ellen Mcstravick |
| First Address | Cheektowaga, NY 14225-1503 |
| Second Address | Buffalo, NY 14215-3021 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/09/2020 |
| Last Update Date | 14/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.