National Provider Identifier

Gerard Tiballi, DO

Gerard Tiballi, DO is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Amherst, NY and a listed phone number of (716) 729-2800.

NPI 1912953761Amherst, NYEmergency Medicine Physician

Profile Overview

NPI
1912953761
Provider Type
Individual
Primary Specialty
Emergency Medicine Physician
Enumeration Date
May 25, 2006
Last Updated
October 16, 2014

Practice Location

  • 3980 Sheridan Dr
  • Amherst, NY 14226-1727

Phone: (716) 729-2800

Mailing Address

  • 6 Fountain Plaza
  • Buffalo, NY 14202-2211

Specialties

  • Emergency Medicine Physician (207P00000X)
Full Record
NPI
1912953761
Entity Type
Individual
Last Name
Tiballi
First Name
Gerard
Credential
DO
Mailing Street Address
6 Fountain Plaza
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-2211
Mailing Country
US
Mailing Phone
(716) 691-8838
Mailing Fax
(716) 204-4501
Practice Street Address
3980 Sheridan Dr
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-1727
Practice Country
US
Practice Phone
(716) 729-2800
Practice Fax
(716) 929-2819
Enumeration Date
May 25, 2006
Last Updated
October 16, 2014
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Emergency Medicine Physician (207P00000X)
Other Identifiers
01354049 (NY)