Individual
MATTHEW BRIAN GIANGRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 ELIZABETH DR, LOCKPORT, NY 14094-5226
(716) 433-6004
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
064714
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2024
Last updated
07/15/2025
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