MEDICARE: DR. GERALD L PEER M.D.

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	208VP0014X	Interventional Pain Medicine Physician	154046	NY

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	:	1710982749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERALD L PEER M.D.

Provider Business Mailing Address
First Line	:	1230 EGGERT RD
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14226-4156
Country	:	US
Telephone Number	:	716-838-0640
Fax Number	:	716-838-0787

Provider Business Practice Location Address
First Line	:	1230 EGGERT RD
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14226-4156
Country	:	US
Telephone Number	:	716-838-0640
Fax Number	:	716-838-0787

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	04/03/2012

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