National Provider Identifier
Gary C Wysocki, RPA-C
Gary C Wysocki, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 847-6610.
Profile Overview
- NPI
- 1568413102
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 15, 2006
- Last Updated
- February 17, 2022
Practice Location
- 397 Louisiana St
- Buffalo, NY 14204-2275
Phone: (716) 847-6610
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1568413102
- Entity Type
- Individual
- Last Name
- Wysocki
- First Name
- Gary
- Middle Name
- C
- Name Prefix
- Mr.
- Credential
- RPA-C
- Mailing Street Address
- 397 Louisiana St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14204-2275
- Mailing Country
- US
- Mailing Phone
- (716) 847-6610
- Practice Street Address
- 397 Louisiana St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14204-2275
- Practice Country
- US
- Practice Phone
- (716) 847-6610
- Enumeration Date
- May 15, 2006
- Last Updated
- February 17, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 17, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 00057036602 (NY, Blue Cross Blue Shield Health Now), 9514132 (NY, Independent Health), 00027974001 (NY, Univera Health), 070515000056 (NY, Fidelis)