National Provider Identifier

Peter Louis Gambacorta, D.O.

Peter Louis Gambacorta, D.O. is listed in the NPPES registry with a primary specialty of Specialist in East Amherst, NY and a listed phone number of (716) 636-1470.

NPI 1700089596East Amherst, NYSpecialist

Profile Overview

NPI
1700089596
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 08, 2007
Last Updated
September 13, 2019

Practice Location

  • 8750 Transit RD
  • Suite 105
  • East Amherst, NY 14051-2610

Phone: (716) 636-1470

Mailing Address

  • 3925 Sheridan Dr
  • Ste 100
  • Amherst, NY 14226-1738

Specialties

  • Specialist (174400000X)
Full Record
NPI
1700089596
Entity Type
Individual
Last Name
Gambacorta
First Name
Peter
Middle Name
Louis
Credential
D.O.
Mailing Street Address
3925 Sheridan Dr
Mailing Address Line 2
Ste 100
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-1738
Mailing Country
US
Mailing Phone
(716) 250-6492
Mailing Fax
(716) 250-6522
Practice Street Address
8750 Transit RD
Practice Address Line 2
Suite 105
Practice City
East Amherst
Practice State
NY
Practice ZIP Code
14051-2610
Practice Country
US
Practice Phone
(716) 636-1470
Practice Fax
(716) 636-1423
Enumeration Date
June 08, 2007
Last Updated
September 13, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)
Other Identifiers
1700089596 (NY, NPI), 256227 (NY, License)