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:
Health care specialties
Specialty | Code | License # | 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 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508026105 | NPPES |
New York | MEDICAID | 03036606 |
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