Provider Demographics
NPI:1003891896
Name:CASTIGLIA, GREGORY J (MD)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:J
Last Name:CASTIGLIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:40 GEORGE KARL BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7183
Mailing Address - Country:US
Mailing Address - Phone:716-218-1000
Mailing Address - Fax:716-200-1857
Practice Address - Street 1:40 GEORGE KARL BLVD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7183
Practice Address - Country:US
Practice Address - Phone:716-218-1000
Practice Address - Fax:716-200-1857
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2019-10-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1982201207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000525616001OtherBLUE CROSS/BLUE SHIELD
NY01934587Medicaid
NY0610627OtherINDEPENDENT HEALTH
140006487OtherRAILROAD MEDICARE
NY00020521001OtherUNIVERA HEALTHCARE
NY000525616001OtherBLUE CROSS/BLUE SHIELD
NY0610627OtherINDEPENDENT HEALTH