Individual
MAURICE M GELIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1540 ELLICOTT CREEK RD, STE 1, TONAWANDA, NY 14150-2935
(716) 743-2000
(716) 743-2002
Mailing address
1540 ELLICOTT CREEK RD, STE 1, TONAWANDA, NY 14150-2935
(716) 743-2000
(716) 743-2002
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
3641-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01113157
—
NY
01
—
1093726952
NATIONAL PROVIDER IDENTIFIER
NY
01
—
480004594
MEDICARE RAILROAD
NY
Enumeration date
08/10/2006
Last updated
08/11/2016
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