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NPI Code Detail

MEDICARE: GREGORY CHARLES DIFRANCESCO M.D.

MEDICARE: GREGORY CHARLES DIFRANCESCO M.D.
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
1207P00000XEmergency Medicine PhysicianMD427774PA
2207P00000XEmergency Medicine Physician214943-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1214943-1OTHERNYNY MEDICAL LICENSE
2MD427774OTHERPAPA MEDICAL LICENSE

General Provider Information

NPI Number : 1215919857
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY CHARLES DIFRANCESCO M.D.
Provider Business Mailing Address
First Line : 101 SQUIRE DR
Second Line :
City : ORCHARD PARK
State : NY
Zip : 14127-3442
Country : US
Telephone Number : 716-662-3876
Fax Number :
Provider Business Practice Location Address
First Line : 529 CENTRAL AVE
Second Line : BROOKS MEMORIAL HOSPITAL
City : DUNKIRK
State : NY
Zip : 14048-2514
Country : US
Telephone Number : 716-363-3072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 10/16/2014

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