DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ELLIS E GOMEZ MD

MEDICARE: ELLIS E GOMEZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician1935561NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912991878
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLIS E GOMEZ MD
Provider Business Mailing Address
First Line : 155 LAWN AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14207-1816
Country : US
Telephone Number : 716-875-2904
Fax Number : 716-875-6717
Provider Business Practice Location Address
First Line : 155 LAWN AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14207-1816
Country : US
Telephone Number : 716-875-2904
Fax Number : 716-875-6717
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 01/27/2012

Similar Medicare Providers

1639833924 — KYLE R DEBOY
Practice Location Address:
155 LAWN AVE
BUFFALO, NY
14207-1816
Practice Phone: 716-875-2980
Practice Fax:
1073871091 — JUNG MIN HONG DMD
Practice Location Address:
155 LAWN AVE
BUFFALO, NY
14207-1816
Practice Phone: 716-875-2904
Practice Fax: 716-875-6717
1629759261 — HANNAH CARBARY PA-C
Practice Location Address:
155 LAWN AVE
BUFFALO, NY
14207-1816
Practice Phone: 716-875-2904
Practice Fax:
1487164018 — LAURA ELIZABETH POPLEWSKI BSN, MSN, CNM
Practice Location Address:
155 LAWN AVE
BUFFALO, NY
14207-1816
Practice Phone: 716-875-2904
Practice Fax:
1528064136 — DR. JOHN CURTIS HELLRIEGEL JR. MD, PHD
Practice Location Address:
155 LAWN AVE
BUFFALO, NY
14207-1816
Practice Phone: 716-875-2904
Practice Fax: 716-875-6717
1932175825 — SUSAN LESLIE NIERENBERG NP
Practice Location Address:
155 LAWN AVE
BUFFALO, NY
14207-1816
Practice Phone: 716-875-2904
Practice Fax: 716-875-6717

Directions to “ ELLIS E GOMEZ MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.