Individual
JERALD GILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 MAPLE RD, STE 1, WILLIAMSVILLE, NY 14221-2917
(716) 626-5250
(716) 626-5316
Mailing address
60 MAPLE RD, STE 1, WILLIAMSVILLE, NY 14221-2917
(716) 626-5250
(716) 626-5316
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
096757
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010063701
UNIVERA
NY
01
—
000505237001
BLUE CROSS OF WNY
NY
05
—
00645616
—
NY
01
—
152308BT
PREFERRED CARE
NY
01
—
2301493
INDEPENDENT HEALTH
NY
01
—
5330097
AERNA
NY
Enumeration date
12/21/2005
Last updated
10/02/2007
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