MEDICARE: ASHVANI K GULATI MD PC

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	152W00000X	Optometrist

General Provider Information

NPI Number	:	1205924164
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHVANI K GULATI MD PC

Provider Business Mailing Address
First Line	:	3750 DELAWARE AVE
Second Line	:
City	:	KENMORE
State	:	NY
Zip	:	14217-1002
Country	:	US
Telephone Number	:	716-874-2455
Fax Number	:	716-874-5775

Provider Business Practice Location Address
First Line	:	3750 DELAWARE AVE
Second Line	:
City	:	KENMORE
State	:	NY
Zip	:	14217-1002
Country	:	US
Telephone Number	:	716-874-2455
Fax Number	:	716-874-5775

Authorized Official
Title or Position	:	SURGICAL COORDINATOR
Name	:	TRACEY D PICI
Credential	:
Telephone Number	:	716-874-2455

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	04/07/2025

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