Individual
DR. ALAN GIANGRECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
292 MEADOW DR, NORTH TONAWANDA, NY 14120-2814
(716) 692-2255
Mailing address
292 MEADOW DR, NORTH TONAWANDA, NY 14120-2814
(716) 692-2255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
037541
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000730205001
BC/BS OF WNY ID#
NY
01
—
400057
IH ID#
NY
01
—
455493
UNITED CONCORDIA ID#
PA
Enumeration date
07/26/2006
Last updated
07/08/2007
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