National Provider Identifier
Gary Robert Nelson, DO
Gary Robert Nelson, DO is listed in the NPPES registry with a primary specialty of Adolescent Medicine (Family Medicine) Physician in Orchard Park, NY and a listed phone number of (716) 972-0300.
Profile Overview
- NPI
- 1245209634
- Provider Type
- Individual
- Primary Specialty
- Adolescent Medicine (Family Medicine) Physician
- Enumeration Date
- March 16, 2006
- Last Updated
- May 24, 2022
Practice Location
- 3320 N Benzing RD
- Orchard Park, NY 14127-1538
Phone: (716) 972-0300
Mailing Address
- 40 La Riviere Dr Ste 201
- Buffalo, NY 14202-4344
Specialties
- Adolescent Medicine (Family Medicine) Physician (207QA0000X)
Full Record
- NPI
- 1245209634
- Entity Type
- Individual
- Last Name
- Nelson
- First Name
- Gary
- Middle Name
- Robert
- Name Prefix
- Dr.
- Credential
- DO
- Mailing Street Address
- 40 La Riviere Dr Ste 201
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-4344
- Mailing Country
- US
- Mailing Phone
- (716) 893-1010
- Mailing Fax
- (716) 893-1002
- Practice Street Address
- 3320 N Benzing RD
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1538
- Practice Country
- US
- Practice Phone
- (716) 972-0300
- Practice Fax
- (716) 972-0309
- Enumeration Date
- March 16, 2006
- Last Updated
- May 24, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 24, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adolescent Medicine (Family Medicine) Physician (207QA0000X)