Individual
DR. GARY ROBERT NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3320 N BENZING RD, ORCHARD PARK, NY 14127-1538
(716) 972-0300
(716) 972-0309
Mailing address
40 LA RIVIERE DR STE 201, BUFFALO, NY 14202-4344
(716) 893-1010
(716) 893-1002
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
164038
NY
Other
Enumeration date
03/16/2006
Last updated
05/24/2022
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