National Provider Identifier
Anthony Gengo, PA-C
Anthony Gengo, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 862-1000.
Profile Overview
- NPI
- 1568142156
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 19, 2023
- Last Updated
- August 08, 2023
Practice Location
- 2157 Main St
- Buffalo, NY 14214-2692
Phone: (716) 862-1000
Mailing Address
- 1616 Kensington Ave
- Buffalo, NY 14215-1433
Specialties
- Physician Assistant (363A00000X)
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1568142156
- Entity Type
- Individual
- Last Name
- Gengo
- First Name
- Anthony
- Credential
- PA-C
- Mailing Street Address
- 1616 Kensington Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1433
- Mailing Country
- US
- Mailing Phone
- (716) 835-3097
- Practice Street Address
- 2157 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-2692
- Practice Country
- US
- Practice Phone
- (716) 862-1000
- Enumeration Date
- July 19, 2023
- Last Updated
- August 08, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 08, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)