DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. GARY C WYSOCKI RPA-C

MEDICARE:  MR. GARY C WYSOCKI  RPA-C
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
1363A00000XPhysician Assistant008186NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100057036602OTHERNYBLUE CROSS BLUE SHIELD HEALTH NOW
29514132OTHERNYINDEPENDENT HEALTH
300027974001OTHERNYUNIVERA HEALTH
4070515000056OTHERNYFIDELIS

General Provider Information

NPI Number : 1568413102
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GARY C WYSOCKI RPA-C
Provider Business Mailing Address
First Line : 397 LOUISIANA ST
Second Line :
City : BUFFALO
State : NY
Zip : 14204-2275
Country : US
Telephone Number : 716-847-6610
Fax Number :
Provider Business Practice Location Address
First Line : 397 LOUISIANA ST
Second Line :
City : BUFFALO
State : NY
Zip : 14204-2275
Country : US
Telephone Number : 716-847-6610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 02/17/2022

Similar Medicare Providers

1902893860 — DR. ELISABETH M BRITTON MD
Practice Location Address:
397 LOUISIANA ST
BUFFALO, NY
14204-2275
Practice Phone: 716-847-6610
Practice Fax:
1124081070 — ELAINE CLUTTERBUCK CNM
Practice Location Address:
397 LOUISIANA ST
BUFFALO, NY
14204-2275
Practice Phone: 716-847-6610
Practice Fax: 716-854-3052
1437114709 — SARAH G. K. WORRELL CNM
Practice Location Address:
397 LOUISIANA ST
BUFFALO, NY
14204-2275
Practice Phone: 716-847-6610
Practice Fax: 716-854-3052
1861423584 — CHRISTINE D. HATEM N.P.
Practice Location Address:
397 LOUISIANA ST
BUFFALO, NY
14204-2275
Practice Phone: 716-847-6610
Practice Fax: 716-854-3052
1528099298 — A. SINIA KORACH NP
Practice Location Address:
397 LOUISIANA ST
BUFFALO, NY
14204-2275
Practice Phone: 716-847-6610
Practice Fax: 716-854-3052
1588686307 — JOAN M OSSWALD N.P.
Practice Location Address:
397 LOUISIANA ST
BUFFALO, NY
14204-2275
Practice Phone: 716-847-6610
Practice Fax: 716-854-3052

Directions to “ MR. GARY C WYSOCKI RPA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.