Provider Demographics
NPI:1225552003
Name:ELLINGTON, KAREN ROMAINA I
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ROMAINA
Last Name:ELLINGTON
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 W HUMBOLDT PKWY
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-2604
Mailing Address - Country:US
Mailing Address - Phone:716-710-5151
Mailing Address - Fax:716-883-0687
Practice Address - Street 1:95 W HUMBOLDTPARKWAY
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214
Practice Address - Country:US
Practice Address - Phone:716-710-5151
Practice Address - Fax:716-883-0687
Is Sole Proprietor?:No
Enumeration Date:2017-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist