National Provider Identifier
Jennifer Gurske-Deperio, MD
Jennifer Gurske-Deperio, MD is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician in Orchard Park, NY and a listed phone number of (716) 821-4400.
Profile Overview
- NPI
- 1972768042
- Provider Type
- Individual
- Primary Specialty
- Orthopaedic Surgery Physician
- Enumeration Date
- July 28, 2008
- Last Updated
- December 06, 2016
Practice Location
- 5959 Big Tree RD
- Orchard Park, NY 14127-2291
Phone: (716) 821-4400
Mailing Address
- 4225 Genesee St
- Suite 107
- Cheektowaga, NY 14225-1994
Specialties
- Orthopaedic Surgery Physician (207X00000X)
- Orthopaedic Surgery Physician (207X00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1972768042
- Entity Type
- Individual
- Last Name
- Gurske-Deperio
- First Name
- Jennifer
- Credential
- MD
- Mailing Street Address
- 4225 Genesee St
- Mailing Address Line 2
- Suite 107
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-1994
- Mailing Country
- US
- Mailing Phone
- (716) 906-5908
- Practice Street Address
- 5959 Big Tree RD
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2291
- Practice Country
- US
- Practice Phone
- (716) 821-4400
- Practice Fax
- (716) 829-2138
- Enumeration Date
- July 28, 2008
- Last Updated
- December 06, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthopaedic Surgery Physician (207X00000X), Orthopaedic Surgery Physician (207X00000X), Student in an Organized Health Care Education/Training Program (390200000X)
- Other Identifiers
- 251338 (NY, License Number, State Of New York), 390200000X (NY, Student, Health Care)