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1013922723
PRASHULA ELLSWORTH
WILLIAMSVILLE, NY
NPI
1013922723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 007118-1)
Enumeration Date
2006-07-30
Last Update Date
2011-09-21
Business Address
-- PRASHULA ELLSWORTH Physician Assistant
6333 MAIN ST SUITE 2
WILLIAMSVILLE, NY 14221-5800
Phone number: 716-630-1164
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Mailing Address
-- PRASHULA ELLSWORTH Physician Assistant
6255 SHERIDAN DR SUITE 304
WILLIAMSVILLE, NY 14221-4836
Phone number: 716-857-8666
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