Prashula Ellsworth, PHYSICIAN ASSISTANT
NPI #1013922723 in Williamsville, New York
Provider Information
- NPI Number
- 1013922723
- Entity Type
- Individual
- Name
- Prashula Ellsworth, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Jul 30, 2006
- Last Updated
- Sep 21, 2011
Practice Location
- Address
- 6333 MAIN ST
- Address 2
- SUITE 2
- City
- Williamsville
- State
- New York
- ZIP Code
- 14221-5800
- Phone
- (716) 630-1164
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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