National Provider Identifier
Stacey Shannon Gugino, MD
Stacey Shannon Gugino, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Williamsville, NY and a listed phone number of (716) 636-7979.
Profile Overview
- NPI
- 1346438157
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- October 05, 2007
- Last Updated
- February 02, 2016
Practice Location
- 1150 Youngs RD
- Williamsville, NY 14221-8053
Phone: (716) 636-7979
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1346438157
- Entity Type
- Individual
- Last Name
- Gugino
- First Name
- Stacey
- Middle Name
- Shannon
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 1150 Youngs RD
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8053
- Mailing Country
- US
- Mailing Phone
- (716) 636-7979
- Practice Street Address
- 1150 Youngs RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-8053
- Practice Country
- US
- Practice Phone
- (716) 636-7979
- Enumeration Date
- October 05, 2007
- Last Updated
- February 02, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)