Provider Demographics
NPI:1629075114
Name:GEARY, WILLIAM A (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:GEARY
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 FOOTE AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-6947
Mailing Address - Country:US
Mailing Address - Phone:716-338-9236
Mailing Address - Fax:
Practice Address - Street 1:207 FOOTE AVE
Practice Address - Street 2:PATHOLOGY LAB
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-7077
Practice Address - Country:US
Practice Address - Phone:716-338-9236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY227790207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5098769OtherGHI MAIN
NY000527319007OtherBCBS OF WNY UAR
NY02429578Medicaid
NM000527319003OtherBCBS OF WNY WNYUA
NM000527319008OtherBCBS OF WNY MAIN
NY041015000034OtherFIDELIS WNYUA
NY00026388902OtherUNIVERA WNYUA
NY061124000076OtherFIDELIS MAIN
NY00026388905OtherUNIVERA UAR
NY5098730OtherGHI UAR
NY00026388904OtherUNIVERA MAIN
NY1111653OtherIHA ALL
NY5099083OtherGHI WNYUA
NY02429578Medicaid
NY061124000076OtherFIDELIS MAIN
NM000527319008OtherBCBS OF WNY MAIN
NY5098769OtherGHI MAIN
NY1111653OtherIHA ALL
NM000527319003OtherBCBS OF WNY WNYUA
NYP00134137Medicare ID - Type UnspecifiedRR MEDICARE WNYUA