Healthcare Provider Details

I. General information

NPI: 1750194759
Provider Name (Legal Business Name): CHRISTOPHER DAVID GOTTSCHALK PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 E ROBINSON RD STE 207
AMHERST NY
14228-2044
US

IV. Provider business mailing address

3950 E ROBINSON RD STE 207
AMHERST NY
14228-2044
US

V. Phone/Fax

Practice location:
  • Phone: 716-564-1111
  • Fax:
Mailing address:
  • Phone: 716-564-1111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number033232
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: