Organization
MICHAEL C GERACI JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C. GERACI JR. M.D. (M.D./OWNER)
(716) 867-9152
Entity
Organization
Contact information
Practice address
52 S UNION RD, SUITE 202, WILLIAMSVILLE, NY 14221-6509
(716) 929-2800
(716) 929-2819
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, N TONAWANDA, NY 14120-2019
(716) 692-2160
(716) 332-3525
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
162259
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01039101
—
NY
Enumeration date
01/16/2013
Last updated
01/28/2013
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