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NPI Code Detail

MEDICARE: DR. GREGORY PETER SCHENK MD

MEDICARE: DR. GREGORY PETER SCHENK 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
1207Q00000XFamily Medicine Physician160770NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558354837
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY PETER SCHENK MD
Provider Business Mailing Address
First Line : 77 GOODELL STREET
Second Line : STE. 240
City : BUFFALO
State : NY
Zip : 14203-1243
Country : US
Telephone Number : 716-645-9694
Fax Number : 716-845-6699
Provider Business Practice Location Address
First Line : 850 HOPKINS ROAD
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-1729
Country : US
Telephone Number : 716-688-9641
Fax Number : 716-688-9645
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 11/10/2022

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