Individual
DR. GREGORY S SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 859-2954
(716) 859-2962
Mailing address
PO BOX 1368, WILLIAMSVILLE, NY 14231-1368
(716) 859-2954
(716) 859-2962
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
234818
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027018401
UNIVERA
—
01
—
00027018405
UNIVERA
—
01
—
00027018407
UNIVERA
—
01
—
000528027001
BLUE SHIELD WNY
—
01
—
000528027005
BLUE SHIELD WNY
—
01
—
000528027007
BLUE SHIELD WNY
—
01
—
0142859
GHI
—
05
—
02625074
—
NY
01
—
050901000062
FIDELIS
—
01
—
1612805
INDEPENDENT HEALTH
—
01
—
195358FF
PREFERRED CARE
—
01
—
2348183W
WORKERS COMPENSATION
NY
01
—
4193669
GHI
—
01
—
P00196037
RR MEDICARE
—
01
—
P00209389
RR MEDICARE
—
01
—
P010234818
BLUE CHOICE
—
01
—
P020234818
BLUE SHIELD ROCHESTER
—
01
—
P040234818
BLUE SHIELD ROCHESTER
—
Enumeration date
05/02/2006
Last updated
05/06/2008
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