Individual
DR. GARY MILLER PROULX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3850 SAUNDERS SETTLEMENT RD, SANBORN, NY 14132-9128
(716) 898-2800
(716) 898-2805
Mailing address
3085 HARLEM RD STE 350, CHEEKTOWAGA, NY 14225-2591
(716) 844-5600
(716) 844-5750
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
206678-1
NY
2085R0001X
Radiation Oncology Physician
MD419971
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016314520003
—
PA
05
—
01753942
—
NY
01
—
920007329
RR MEDICARE PIN
PA
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
P00362286
RR MEDICARE PIN
NY
Enumeration date
02/09/2006
Last updated
02/03/2026
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