Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N005586-01 | NY |
NPI | 1043319692 |
---|---|
Provider Name | Ronald Gmerek |
First Address | Rochester, NY 14623-3158 |
Second Address | Avon, NY 14414-1222 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 26/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000924073002 | BC / BS OF WNY (01) | NY |
02146569 | (05) | NY |
106819EQ | PREFERRED CARE (01) | NY |
7101267 | AETNA (01) | NY |
83-0345421 | UNITED HEALTH CARE (01) | NY |
G0184705620 | FINGER LAKES (01) | NY |
MDH352 | PREFERRED CARE (01) | NY |
P00074369 | MEDICARE RAILROAD (01) | NY |
P010005586 | BLUE CHOICE (01) | NY |
P030005586 | BLUE CROSS / BLUE SHIELD (01) | NY |
U85112 | (02) | NY |