| Tarik Elibol, MD | |
|
2949 Elmwood Ave Ste 202 Kenmore NY 14217-1356 | |
| (716) 876-4033 | |
| (716) 873-3085 |
| Full Name | Tarik Elibol, MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 2949 Elmwood Ave, Kenmore, New York |
| Authorized Official Name and Position | Tarik Elibol (OWNER) |
| Authorized Official Contact | 7168764033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarik Elibol, MD 2949 Elmwood Ave Ste 202 Kenmore NY 14217-1356 Ph: (716) 876-4033 | Tarik Elibol, MD 2949 Elmwood Ave Ste 202 Kenmore NY 14217-1356 Ph: (716) 876-4033 |
| NPI Number | 1912329368 |
|---|---|
| Provider Enumeration Date | 01/19/2014 |
| Last Update Date | 01/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912329368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 102346-1 (New York) | Primary |
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