Tiballi, Gerard
Tiballi, Gerard is an individual health care provider with primary practice located at 3980 Sheridan Dr , Amherst NY 14226-1727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tiballi, Gerard can be contacted via phone (716) 729-2800.Contact Information
Primary practice address
3980 Sheridan Dr
Amherst NY 14226-1727
Phone: (716) 729-2800
Fax: (716) 929-2819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 176342 | New York |
Profile Details
| NPI number | 1912953761 |
|---|---|
| LBN Legal business name | Tiballi, Gerard |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Oct 16th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912953761 | NPPES |
| New York | MEDICAID | 01354049 |
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