Individual
LISA GELMAN-KOESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4575 MAIN ST, AMHERST, NY 14226-4567
(716) 633-4575
(716) 633-4576
Mailing address
4575 MAIN ST, AMHERST, NY 14226-4567
(716) 633-4575
(716) 633-4576
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
240887
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028149401
UNIVERA
NY
01
—
000529546001
BC/BS
NY
05
—
02899690
—
NY
01
—
0714362
INDEPENDENT HEALTH
NY
01
—
207420CK
PREFERRED CARE
NY
Enumeration date
06/26/2007
Last updated
04/29/2020
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