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General NPI Number Information
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NPI Number | 1194246777
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Entity Type | Individual
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Provider Name | WALEED ELMATITE MD
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Gender | Male
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Dates
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Enumeration Date | 07/04/2017
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1022 DELAWARE AVE APT A1
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City | BUFFALO
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State | NY
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Zip | 14209-1639
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Country | US
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Telephone | 716-578-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 1022 DELAWARE AVE APT A1
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City | BUFFALO
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State | NY
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Zip | 14209-1639
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Country | US
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Telephone | 716-578-4800
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | PO1847
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 290372
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License Number State | NY
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