Individual
GAURAV JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 INTERNATIONAL DR., WILLIAMSVILLE, NY 14221
(716) 631-3555
(716) 631-9525
Mailing address
400 INTERNATIONAL DR., WILLIAMSVILLE, NY 14221
(716) 631-3555
(716) 631-9525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
273927
NY
2084P0800X
Psychiatry Physician
273927
NY
Other
Enumeration date
08/04/2008
Last updated
12/22/2014
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