National Provider Identifier
Katherine Anne Gambacorta, D.O.
Katherine Anne Gambacorta, D.O. is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Williamsville, NY and a listed phone number of (716) 568-6633.
Profile Overview
- NPI
- 1003006727
- Provider Type
- Individual
- Primary Specialty
- Anesthesiology Physician
- Enumeration Date
- July 30, 2007
- Last Updated
- January 11, 2021
Practice Location
- 30 S Cayuga RD
- Williamsville, NY 14221-6728
Phone: (716) 568-6633
Mailing Address
- 9785 Rocky PT
- Clarence, NY 14031-1589
Specialties
- Anesthesiology Physician (207L00000X)
Full Record
- NPI
- 1003006727
- Entity Type
- Individual
- Last Name
- Gambacorta
- First Name
- Katherine
- Middle Name
- Anne
- Credential
- D.O.
- Provider Other Last Name
- Wendt
- Provider Other First Name
- Katherine
- Provider Other Middle Name
- Anne
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 9785 Rocky PT
- Mailing City
- Clarence
- Mailing State
- NY
- Mailing ZIP Code
- 14031-1589
- Mailing Country
- US
- Mailing Phone
- (716) 867-1417
- Practice Street Address
- 30 S Cayuga RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-6728
- Practice Country
- US
- Practice Phone
- (716) 568-6633
- Enumeration Date
- July 30, 2007
- Last Updated
- January 11, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 11, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Anesthesiology Physician (207L00000X)