Individual
DR. GERALD A LAURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5800 BIG TREE RD, ORCHARD PARK, NY 14127-4116
(716) 662-7337
(716) 662-0641
Mailing address
5800 BIG TREE RD, ORCHARD PARK, NY 14127-4116
(716) 662-7337
(716) 662-0641
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
158232
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010312201
UNIVERA HEALTHCARE
NY
01
—
000500390001
BLUE CROSS BLUE SHIELD
NY
05
—
00844679
—
NY
01
—
1200857
INDEPENDENT HEALTH
NY
Enumeration date
02/02/2006
Last updated
07/13/2012
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