MEDICARE: DR. GIL MICHAEL FARKASH MD FACOG

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	207V00000X	Obstetrics & Gynecology Physician	197614	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
11	160057078	OTHER	NY	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00010301707	OTHER	NY	UNIVERA
2	10172730	OTHER	NY	FIDELIS
3	943414339001	OTHER	NY	TRICARE
4	00524717011	OTHER	NY	BLUE CROSS & BLUE SHIELD
5	005247179	OTHER	NY	BLUE CROSS & BLUE SHIELD
6	943414339002	OTHER	NY	TRICARE
7	P61780144	OTHER	NY	MULTIPLAN
8	408755	OTHER	NY	WELLCARE
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	0298342	OTHER	NY	GHI
12	00524717010	OTHER	NY	BLUE CROSS & BLUE SHIELD
13	0709050	OTHER	NY	INDEPENDANT HEALTH

General Provider Information

NPI Number	:	1871599381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GIL MICHAEL FARKASH MD FACOG

Provider Business Mailing Address
First Line	:	240 REDTAIL DR
Second Line	:	STE 5&6
City	:	ORCHARD PARK
State	:	NY
Zip	:	14127-3000
Country	:	US
Telephone Number	:	716-677-0454
Fax Number	:	716-712-0061

Provider Business Practice Location Address
First Line	:	240 REDTAIL DR
Second Line	:	STE 5&6
City	:	ORCHARD PARK
State	:	NY
Zip	:	14127-0000
Country	:	US
Telephone Number	:	716-677-0454
Fax Number	:	716-712-0061

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

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	06/30/2008

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