Individual
DR. GERALD M GACIOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 HAGEN DR, SUITE 100, ROCHESTER, NY 14625-2658
(585) 338-2700
(585) 242-9663
Mailing address
30 HAGEN DR, SUITE 100, ROCHESTER, NY 14625-2658
(585) 338-2700
(585) 242-9663
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
160019
NY
207RI0011X
Interventional Cardiology Physician
160019
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000834851
UNITED HEALTHCARE
—
01
—
000524209002
HEALTH NOW LINDEN
—
01
—
005242091
HEALTHNOW POB
—
05
—
01197584
—
NY
01
—
060012728
RAILROAD MEDICARE
—
01
—
137401527
TRICARE/CHAMPUS
—
01
—
301129
WELLCARE
—
01
—
4266402
AETNA
—
01
—
6890
BCBS
—
01
—
7701220
MVP
—
01
—
9682189
GHI
—
01
—
MD459L
PREFERRED CARE
—
01
—
P010160019
GRIPA
—
01
—
PO10160019
EXCELLUS
—
01
—
RC60160019
RCIPA
—
Enumeration date
03/01/2006
Last updated
09/28/2022
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