Gagliardo, Anthony J

Gagliardo, Anthony J is an individual health care provider with primary practice located at 550 Orchard Park Rd Suite A105, West Seneca NY 14224. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Gagliardo, Anthony J can be contacted via phone (716) 677-6000.

Contact Information

Primary practice address
550 Orchard Park Rd Suite A105 West Seneca NY 14224
Phone: (716) 677-6000
Fax: (716) 677-6006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 012601 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1508026105
LBN Legal business name Gagliardo, Anthony J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2008
Last updated Sep 18th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508026105 NPPES
New York MEDICAID 03036606

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