Individual
ANTHONY J GAGLIARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
550 ORCHARD PARK RD, SUITE A105, WEST SENECA, NY 14224
(716) 677-6000
(716) 677-6006
Mailing address
550 ORCHARD PARK RD, SUITE A105, WEST SENECA, NY 14224
(716) 677-6000
(716) 677-6006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
012601
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03036606
—
NY
Enumeration date
06/17/2008
Last updated
09/18/2019
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