Individual
GERARD TIBALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3980 SHERIDAN DR, AMHERST, NY 14226-1727
(716) 729-2800
(716) 929-2819
Mailing address
6 FOUNTAIN PLAZA, BUFFALO, NY 14202-2211
(716) 691-8838
(716) 204-4501
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
176342
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01354049
—
NY
Enumeration date
05/25/2006
Last updated
10/16/2014
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