Provider Demographics
NPI:1295709137
Name:ZITTEL, MOLLY JANE (DO)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:JANE
Last Name:ZITTEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1271 SWEET RD
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-3012
Mailing Address - Country:US
Mailing Address - Phone:716-655-2979
Mailing Address - Fax:716-652-3863
Practice Address - Street 1:530 MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-1717
Practice Address - Country:US
Practice Address - Phone:716-652-5499
Practice Address - Fax:716-652-3863
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY184251207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine