National Provider Identifier
Gregory Micoli
Gregory Micoli is listed in the NPPES registry with a primary specialty of Pharmacist in Buffalo, NY and a listed phone number of (716) 834-9200.
Profile Overview
- NPI
- 1003466905
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- September 13, 2019
- Last Updated
- September 13, 2019
Practice Location
- 3495 Bailey Ave
- Buffalo, NY 14215-1129
Phone: (716) 834-9200
Mailing Address
- 771 Thomas Fox Dr W
- North Tonawanda, NY 14120-2933
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1003466905
- Entity Type
- Individual
- Last Name
- Micoli
- First Name
- Gregory
- Name Prefix
- Dr.
- Mailing Street Address
- 771 Thomas Fox Dr W
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2933
- Mailing Country
- US
- Mailing Phone
- (716) 935-0259
- Practice Street Address
- 3495 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 834-9200
- Enumeration Date
- September 13, 2019
- Last Updated
- September 13, 2019
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)