National Provider Identifier
Michelle Ann Gambacorta, OD
Michelle Ann Gambacorta, OD is listed in the NPPES registry with a primary specialty of Optometrist in Depew, NY and a listed phone number of (716) 656-2011.
Profile Overview
- NPI
- 1982213906
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- July 27, 2020
- Last Updated
- August 07, 2020
Practice Location
- 4703 Transit RD
- Depew, NY 14043-4861
Phone: (716) 656-2011
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1982213906
- Entity Type
- Individual
- Last Name
- Gambacorta
- First Name
- Michelle
- Middle Name
- Ann
- Credential
- OD
- Mailing Street Address
- 4703 Transit RD
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-4861
- Mailing Country
- US
- Mailing Phone
- (716) 656-2011
- Practice Street Address
- 4703 Transit RD
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-4861
- Practice Country
- US
- Practice Phone
- (716) 656-2011
- Enumeration Date
- July 27, 2020
- Last Updated
- August 07, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 07, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)