Individual
DR. RICHARD FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
771 MAIN ST, EAST AURORA, NY 14052-1936
(716) 655-5454
(716) 655-5457
Mailing address
771 MAIN ST, EAST AURORA, NY 14052-1936
(716) 655-5454
(716) 655-5457
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
184240
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010054801
UNIVERA
NY
01
—
000523733002
BCBS GATES
NY
01
—
000523733004
BCBS EA
NY
05
—
01575644
—
NY
01
—
0507906
IHA
NY
01
—
Y060372
TRICARE
NY
Enumeration date
03/14/2006
Last updated
07/08/2007
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