Healthcare Provider Details

I. General information

NPI: 1659337152
Provider Name (Legal Business Name): HAMBURG REGIONAL GYNECOLOGY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 RED TAIL RD STE 2
ORCHARD PARK NY
14127-1582
US

IV. Provider business mailing address

240 RED TAIL RD STE 2
ORCHARD PARK NY
14127-1582
US

V. Phone/Fax

Practice location:
  • Phone: 716-649-6500
  • Fax: 716-649-0031
Mailing address:
  • Phone: 716-649-6500
  • Fax: 716-649-0031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SCOTT JEFFREY ZUCCALA
Title or Position: OWNER
Credential: DO
Phone: 716-649-6500