Individual
ANTHONY GENGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2157 MAIN ST, BUFFALO, NY 14214-2692
(716) 862-1000
Mailing address
1616 KENSINGTON AVE, BUFFALO, NY 14215-1433
(716) 835-3097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030303
NY
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
07/19/2023
Last updated
08/08/2023
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