Individual
ALFONSE J GAMBACORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
425 MICHIGAN AVE, BUFFALO, NY 14203-2209
(716) 828-8308
(716) 828-8307
Mailing address
425 MICHIGAN AVE, BUFFALO, NY 14203-2209
(716) 828-8308
(716) 828-8307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047542-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02265534
—
NY
Enumeration date
08/21/2006
Last updated
01/05/2012
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