Individual
DR. CAROL M COOLEY-GUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5800 BIG TREE RD, ORCHARD PARK, NY 14127-4116
(716) 662-7337
(716) 662-0641
Mailing address
8205 MAIN ST STE 10, WILLIAMSVILLE, NY 14221-6054
(716) 539-0789
(716) 250-9090
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
177378
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010312001
UNIVERA HEALTHCARE
NY
01
—
000510751001
BLUE CROSS BLUE SHIELD
NY
05
—
01144045
—
NY
01
—
1202809
INDEPENDENT HEALTH
NY
Enumeration date
01/31/2006
Last updated
02/04/2026
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