Organization
GEBHARD MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA E GEBHARD D.O. (OWNER PHYSICIAN)
(716) 649-0887
Entity
Organization
Contact information
Practice address
2950 ELMWOOD AVE, KENMORE, NY 14217-1304
(716) 649-0887
(716) 646-4611
Mailing address
40 CARDINAL LN, GRAND ISLAND, NY 14072-1950
(716) 649-0887
(716) 646-4611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
176365
NY
Other
Enumeration date
10/16/2006
Last updated
02/14/2008
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