National Provider Identifier
Keith A Gembusia, D.O.
Keith A Gembusia, D.O. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Olean, NY and a listed phone number of (716) 379-8113.
Profile Overview
- NPI
- 1205020245
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- September 04, 2007
- Last Updated
- June 28, 2023
Practice Location
- 401 N. 8Th St.
- Olean, NY 14760
Phone: (716) 379-8113
Specialties
- Family Medicine Physician (207Q00000X)
Endpoints
- kgembusia227773@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1205020245
- Entity Type
- Individual
- Last Name
- Gembusia
- First Name
- Keith
- Middle Name
- A
- Name Prefix
- Mr.
- Credential
- D.O.
- Mailing Street Address
- 401 N. 8Th St.
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760
- Mailing Country
- US
- Mailing Phone
- (716) 379-8113
- Mailing Fax
- (716) 379-8115
- Practice Street Address
- 401 N. 8Th St.
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760
- Practice Country
- US
- Practice Phone
- (716) 379-8113
- Practice Fax
- (716) 379-8115
- Enumeration Date
- September 04, 2007
- Last Updated
- June 28, 2023
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 0018787180001 (NY)