Individual
GRETCHEN ELGERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1540 MAPLE RD, EMERGENCY ROOM, WILLIAMSVILLE, NY 14221-3647
(716) 691-8838
(716) 564-1134
Mailing address
305 CAYUGA RD, SUITE 190, CHEEKTOWAGA, NY 14225-1980
(716) 691-8838
(716) 564-1134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0081151
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000570318006
BLUE CROSS BLUE SHIELD
NY
05
—
02166489
—
NY
01
—
050301000000
FIDELIS
NY
01
—
9512202
INDEPENDENT HEALTH
NY
01
—
OOO26514301
UNIVERA
NY
01
—
P00234866
RAILROAD MEDICARE
NY
Enumeration date
06/30/2006
Last updated
08/26/2009
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