Provider Demographics
NPI:1952756074
Name:SELLERS, MADELIE ANN
Entity type:Individual
Prefix:MRS
First Name:MADELIE
Middle Name:ANN
Last Name:SELLERS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MADELIE
Other - Middle Name:ANN
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 HIGH ST
Mailing Address - Street 2:SUITE B-422
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1126
Mailing Address - Country:US
Mailing Address - Phone:716-859-3760
Mailing Address - Fax:716-859-4015
Practice Address - Street 1:100 HIGH ST
Practice Address - Street 2:SUITE B-422
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1126
Practice Address - Country:US
Practice Address - Phone:716-859-3760
Practice Address - Fax:716-859-4015
Is Sole Proprietor?:No
Enumeration Date:2016-04-26
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program