Individual
DEREK ANTHONY GALLUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
30 N UNION RD STE 102, WILLIAMSVILLE, NY 14221-5367
(716) 839-8000
Mailing address
30 N UNION RD STE 102, WILLIAMSVILLE, NY 14221-5367
(716) 839-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
279555
NY
Other
Enumeration date
05/01/2012
Last updated
04/26/2016
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