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 |
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Address | 397 Louisiana St, Buffalo, New York |
Phone Number | 7168476610 |
Fax Number | |
Sole Proprietor | N |
Credentials | RPA-C |
NPI Number Detail
NPI Number | 1568413102 |
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Provider Enumeration Date | 2006-05-15 |
Last Updated Date | 2022-02-17 |
Provider Mailing Address Detail
Address | 397 Louisiana St |
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City | Buffalo |
State | New York (NY) |
Post Code | 142042275 |
Phone Number | 7168476610 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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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 |
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57036602 | NY | BLUE CROSS BLUE SHIELD HEALTH | |
9514132 | NY | INDEPENDENT HEALTH | |
27974001 | NY | UNIVERA HEALTH | |
70515000056 | NY | FIDELIS |
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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.