Provider Demographics
NPI:1720131774
Name:GAMZIUKAS, ALGIRDAS -------------------- (MD)
Entity Type:Individual
Prefix:DR
First Name:ALGIRDAS
Middle Name:--------------------
Last Name:GAMZIUKAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 LAKEWOOD PKWY
Mailing Address - Street 2:
Mailing Address - City:SNYDER
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4001
Mailing Address - Country:US
Mailing Address - Phone:716-839-0284
Mailing Address - Fax:716-839-0737
Practice Address - Street 1:40 LAKEWOOD PKWY
Practice Address - Street 2:
Practice Address - City:SNYDER
Practice Address - State:NY
Practice Address - Zip Code:14226-4001
Practice Address - Country:US
Practice Address - Phone:716-839-0284
Practice Address - Fax:716-839-0737
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086107207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine