Organization
FDR MEDICAL SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY DIFRANCESCO M.D. (PRESIDENT)
(716) 677-2575
Entity
Organization
Contact information
Practice address
1540 MAPLE RD, WILLIAMSVILLE, NY 14221-3647
(716) 568-3600
Mailing address
275 NORTHPOINTE PKWY, SUITE 50, AMHERST, NY 14228-1895
(716) 834-1191
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02500594
—
NY
01
—
DA5576
RAILROAD MEDICARE
NY
Enumeration date
07/26/2006
Last updated
02/27/2014
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