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NPI Code Detail

MEDICARE: GEOFFREY GEROW, DC, PC

MEDICARE: GEOFFREY GEROW, DC, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NX0800XOrthopedic ChiropractorC03219-5BNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C03219-5BOTHERNYWORKERS COMPENSATION

General Provider Information

NPI Number : 1316171028
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEOFFREY GEROW, DC, PC
Provider Business Mailing Address
First Line : 449 E FERRY ST
Second Line :
City : BUFFALO
State : NY
Zip : 14208-1602
Country : US
Telephone Number : 716-882-7701
Fax Number : 716-882-7726
Provider Business Practice Location Address
First Line : 449 E FERRY ST
Second Line :
City : BUFFALO
State : NY
Zip : 14208-1602
Country : US
Telephone Number : 716-882-7701
Fax Number : 716-882-7726
Authorized Official
Title or Position : OWNER
Name : DR. GEOFFREY GEROW
Credential : DC, DABCO
Telephone Number : 716-882-7701
Provider Enumeration Date : 05/08/2009
Last Update Date : 05/08/2009

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