Gary C Wysocki in Buffalo - Physician Assistant

Gary C Wysocki - NPI 1568413102

Gary C Wysocki is a Physician Assistant in Buffalo, New York. Gary C Wysocki practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gary C Wysocki is 1568413102. The last update date is 2022-02-17.

Gary C Wysocki's current location address is 397 Louisiana St, Buffalo, New York. You can contact this provider via phone number 7168476610. The mailing address for Gary C Wysocki is 397 Louisiana St, Buffalo, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary C Wysocki
Address 397 Louisiana St, Buffalo, New York
Phone Number 7168476610
Fax Number
Sole Proprietor N
Credentials RPA-C

NPI Number Detail

NPI Number 1568413102
Provider Enumeration Date 2006-05-15
Last Updated Date 2022-02-17

Provider Mailing Address Detail

Address 397 Louisiana St
City Buffalo
State New York (NY)
Post Code 142042275
Phone Number 7168476610
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 8186
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
57036602 NY BLUE CROSS BLUE SHIELD HEALTH
9514132 NY INDEPENDENT HEALTH
27974001 NY UNIVERA HEALTH
70515000056 NY FIDELIS

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FAQs about Gary C Wysocki

What is the unique identifier code issued to Gary C Wysocki by the Centers for Medicare & Medicaid Services (CMS)?

The Gary C Wysocki has been assigned the NPI (National Provider Identifier) 1568413102. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Gary C Wysocki located?

The Gary C Wysocki is located at 397 Louisiana St, Buffalo, NY 142042275.

What is the area of specialization for Gary C Wysocki, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Gary C Wysocki is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did Gary C Wysocki receive its 1568413102 assignment from the Centers for Medicare & Medicaid Services?

The Gary C Wysocki was assigned its 1568413102 on 2006-05-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Gary C Wysocki most recently updated or revised?

The information pertaining to Gary C Wysocki, including its address, specialty, and other relevant details, was last updated or revised on 2022-02-17.

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