National Provider Identifier
Alfonse J Gambacorta, D.D.S.
Alfonse J Gambacorta, D.D.S. is listed in the NPPES registry with a primary specialty of Dentist in Buffalo, NY and a listed phone number of (716) 828-8308.
Profile Overview
- NPI
- 1124133699
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- August 21, 2006
- Last Updated
- January 05, 2012
Practice Location
- 425 Michigan Ave
- Buffalo, NY 14203-2209
Phone: (716) 828-8308
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1124133699
- Entity Type
- Individual
- Last Name
- Gambacorta
- First Name
- Alfonse
- Middle Name
- J
- Credential
- D.D.S.
- Mailing Street Address
- 425 Michigan Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-2209
- Mailing Country
- US
- Mailing Phone
- (716) 828-8308
- Mailing Fax
- (716) 828-8307
- Practice Street Address
- 425 Michigan Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-2209
- Practice Country
- US
- Practice Phone
- (716) 828-8308
- Practice Fax
- (716) 828-8307
- Enumeration Date
- August 21, 2006
- Last Updated
- January 05, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)
- Other Identifiers
- 02265534 (NY)