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Individual

DR. GAIL H FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
155 LAWN AVENUE, BUFFALO, NY 14207-1816
(716) 875-2904
(716) 875-5346
Mailing address
155 LAWN AVENUE, BUFFALO, NY 14207-1816
(716) 875-2904
(716) 875-5346

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
198422
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010291101
UNIVERA
NY
01
000524589001
BC/BS
NY
05
01704127
NY
01
040426001736
FIDELIS
NY
01
1190242
FIRST HEALTH
NY
01
1208649
INDEPENDENT HEALTH
NY
01
2698693
GHI PPO
NY
01
82597
GHI HMO
NY
Enumeration date
10/04/2006
Last updated
02/14/2012
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