Healthcare Provider Details

I. General information

NPI: 1801311758
Provider Name (Legal Business Name): MEGAN L GALLAGHER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN L SCHIFFERLI PA

II. Dates (important events)

Enumeration Date: 08/11/2017
Last Update Date: 09/13/2022
Certification Date: 09/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

1150 YOUNGS RD STE 104
WILLIAMSVILLE NY
14221-8024
US

V. Phone/Fax

Practice location:
  • Phone: 716-564-1111
  • Fax: 716-564-1128
Mailing address:
  • Phone: 716-636-7990
  • Fax: 716-636-7993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number020977
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: