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NPI Code Detail

MEDICARE: ELLA CLUNE

MEDICARE:   ELLA  CLUNE
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1013603075
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLA CLUNE
Provider Business Mailing Address
First Line : 133 LYNDALE CT
Second Line :
City : WEST SENECA
State : NY
Zip : 14224-1966
Country : US
Telephone Number : 716-449-0428
Fax Number :
Provider Business Practice Location Address
First Line : 4060 N BUFFALO ST
Second Line :
City : ORCHARD PARK
State : NY
Zip : 14127-2444
Country : US
Telephone Number : 716-662-4401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2023
Last Update Date : 04/13/2023

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Directions to “ ELLA CLUNE ” Practice Location

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