MEDICARE: MRS. DOROTHY RUTH GANSCHOW PA-C

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	363AM0700X	Medical Physician Assistant	007864	NY

General Provider Information

NPI Number	:	1366427288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DOROTHY RUTH GANSCHOW PA-C

Provider Business Mailing Address
First Line	:	6100 EASTWOOD RD
Second Line	:
City	:	CLARENCE CENTER
State	:	NY
Zip	:	14032-9653
Country	:	US
Telephone Number	:	716-741-4603
Fax Number	:

Provider Business Practice Location Address
First Line	:	3495 BAILEY AVE
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14215-1129
Country	:	US
Telephone Number	:	716-862-8757
Fax Number	:	716-862-3298

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	07/09/2007

Similar Medicare Providers

1619822988 — DR. KHRYSTYNA SOBKO DDS
Practice Location Address:

3495 BAILEY AVE
BUFFALO, NY
14215-1129

Practice Phone: 716-834-9200
Practice Fax:

1659377968 — DEBORAH LYNN FAROLINO MD
Practice Location Address:

3495 BAILEY AVE
BUFFALO, NY
14215-1129

Practice Phone: 716-834-9200
Practice Fax:

1164412938 — MR. MICHAEL RUDZINSKI PA; R.PH.
Practice Location Address:

3495 BAILEY AVE
BUFFALO, NY
14215-1129

Practice Phone: 716-862-6060
Practice Fax:

1447231741 — BRADFORD PERHAM MERSEREAU
Practice Location Address:

3495 BAILEY AVE , PRIMARY CARE GROUP 2
BUFFALO, NY
14215-1129

Practice Phone: 716-862-3641
Practice Fax:

1679558860 — MR. RUSSELL CLARENCE TALMA PA-C
Practice Location Address:

3495 BAILEY AVE , VA MEDICAL CENTER. DEPT OF SURGERY
BUFFALO, NY
14215-1129

Practice Phone: 716-862-8500
Practice Fax: 716-862-8600

1639154818 — MS. DEBORAH ANN MACIOLEK P.A.
Practice Location Address:

3495 BAILEY AVE
BUFFALO, NY
14215-1129

Practice Phone: 716-862-6063
Practice Fax: 716-862-8600

Directions to “ MRS. DOROTHY RUTH GANSCHOW PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.