National Provider Identifier
Derek Anthony Gallucci, D.O.
Derek Anthony Gallucci, D.O. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Williamsville, NY and a listed phone number of (716) 839-8000.
Profile Overview
- NPI
- 1346508991
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- May 01, 2012
- Last Updated
- April 26, 2016
Practice Location
- 30 N Union RD Ste 102
- Williamsville, NY 14221-5367
Phone: (716) 839-8000
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1346508991
- Entity Type
- Individual
- Last Name
- Gallucci
- First Name
- Derek
- Middle Name
- Anthony
- Credential
- D.O.
- Mailing Street Address
- 30 N Union RD Ste 102
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5367
- Mailing Country
- US
- Mailing Phone
- (716) 839-8000
- Practice Street Address
- 30 N Union RD Ste 102
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5367
- Practice Country
- US
- Practice Phone
- (716) 839-8000
- Enumeration Date
- May 01, 2012
- Last Updated
- April 26, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)