Individual
WILLIAM JAMES GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 YOUNGS RD STE 110, WILLIAMSVILLE, NY 14221-2698
(716) 961-9900
(716) 961-9911
Mailing address
1020 YOUNGS RD STE 110, WILLIAMSVILLE, NY 14221-2698
(716) 961-9900
(716) 961-9911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
163600
NY
207RP1001X
Pulmonary Disease Physician
Primary
163600
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020506601
EXCELLUS UNIVERA
NY
01
—
005249731
HEALTH NOW
NY
05
—
01781626
—
NY
01
—
2809907
INDEPENDENT HEALTH
NY
Enumeration date
08/21/2006
Last updated
06/07/2022
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