Individual
KATHERINE C GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 LAKEFRONT BLVD, SUITE 130, BUFFALO, NY 14202-4345
(716) 849-8750
(716) 849-8757
Mailing address
50 LAKEFRONT BLVD, SUITE 130, BUFFALO, NY 14202-4345
(716) 849-8750
(716) 849-8757
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
153168
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010059307
UNIVERA
NY
01
—
000500104008
BLUE CROSS
NY
05
—
00776650
—
NY
01
—
2305778
IHA
NY
Enumeration date
12/22/2005
Last updated
11/18/2013
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