Individual
DR. GALE R BURSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
219 BRYANT STREET, BUFFALO, NY 14222-2006
(716) 878-7300
(716) 878-7339
Mailing address
4511 HARLEM ROAD, SUITE 202, AMHERST, NY 14226-3822
(716) 839-6720
(716) 839-6740
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
238323
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027601201
UNIVERA
—
01
—
000528640001
BC/BS
—
05
—
02773242
—
NY
01
—
060830000023
FIDELIS
—
01
—
060830000027
FIDELIS
—
05
—
1020753900001
—
PA
01
—
1213879
IHA
—
Enumeration date
07/06/2006
Last updated
12/07/2009
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