Individual
CATHERINE A GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
4936 MAIN ST, BEMUS POINT, NY 14712-9667
(716) 386-2414
(716) 386-2437
Mailing address
4936 MAIN ST, PO BOX 470, BEMUS POINT, NY 14712-9667
(716) 386-2414
(716) 386-2437
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005116
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010198101
UNIVERA
NY
01
—
000570059005
BC WESTERN NY PROVIDER #
NY
05
—
01578523
—
NY
01
—
9512318
INDEPENDENT HEALTH
NY
Enumeration date
12/28/2005
Last updated
12/15/2010
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