National Provider Identifier

Anthony J Gagliardo, PA

Anthony J Gagliardo, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in West Seneca, NY and a listed phone number of (716) 677-6000.

NPI 1508026105West Seneca, NYPhysician Assistant

Profile Overview

NPI
1508026105
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
June 17, 2008
Last Updated
September 18, 2019

Practice Location

  • 550 Orchard Park RD
  • Suite A105
  • West Seneca, NY 14224

Phone: (716) 677-6000

Specialties

  • Physician Assistant (363A00000X)
  • Surgical Physician Assistant (363AS0400X)
Full Record
NPI
1508026105
Entity Type
Individual
Last Name
Gagliardo
First Name
Anthony
Middle Name
J
Credential
PA
Mailing Street Address
550 Orchard Park RD
Mailing Address Line 2
Suite A105
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224
Mailing Country
US
Mailing Phone
(716) 677-6000
Mailing Fax
(716) 677-6006
Practice Street Address
550 Orchard Park RD
Practice Address Line 2
Suite A105
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224
Practice Country
US
Practice Phone
(716) 677-6000
Practice Fax
(716) 677-6006
Enumeration Date
June 17, 2008
Last Updated
September 18, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Surgical Physician Assistant (363AS0400X)
Other Identifiers
03036606 (NY)