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NPI Code Detail

MEDICARE: WILLIAM JAMES GIBBONS MD

MEDICARE: WILLIAM JAMES GIBBONS MD
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
1207R00000XInternal Medicine Physician163600NY
2207RP1001XPulmonary Disease Physician163600NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1005249731OTHERNYHEALTH NOW
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32809907OTHERNYINDEPENDENT HEALTH
400020506601OTHERNYEXCELLUS UNIVERA

General Provider Information

NPI Number : 1215042700
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM JAMES GIBBONS MD
Provider Business Mailing Address
First Line : 1020 YOUNGS RD STE 110
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-2698
Country : US
Telephone Number : 716-961-9900
Fax Number : 716-961-9911
Provider Business Practice Location Address
First Line : 1020 YOUNGS RD STE 110
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-2698
Country : US
Telephone Number : 716-961-9900
Fax Number : 716-961-9911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 06/07/2022

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