MEDICARE: HIGHGATE MEDICAL GROUP

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
1	207Q00000X	Family Medicine Physician	131001	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	A30001607	OTHER	NY	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326158593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHGATE MEDICAL GROUP

Provider Business Mailing Address
First Line	:	6255 SHERIDAN DR STE 200
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-8096
Country	:	US
Telephone Number	:	716-636-7979
Fax Number	:	716-929-0192

Provider Business Practice Location Address
First Line	:	3950 E ROBINSON RD STE 207
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14228-2044
Country	:	US
Telephone Number	:	716-574-1111
Fax Number	:	716-929-0192

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID PAWLOWSKI
Credential	:	M.D.
Telephone Number	:	716-636-7979

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	01/12/2026

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Directions to “HIGHGATE MEDICAL GROUP ” Practice Location

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