Gambacorta, Joseph P

Gambacorta, Joseph P is an individual health care provider with primary practice located at 5500 Main St Ste 102 , Williamsville NY 14221-6737. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gambacorta, Joseph P can be contacted via phone (716) 833-2020.

Contact Information

Primary practice address
5500 Main St Ste 102 Williamsville NY 14221-6737
Phone: (716) 833-2020
Fax: (716) 833-3854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV004897-2 New York

Profile Details

NPI number 1730142498
LBN Legal business name Gambacorta, Joseph P
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Oct 20th, 2020 - 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 1730142498 NPPES
New York Other 00010207803 UNIVERA
New York MEDICAID 01089101 UNIVERA

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