Provider Demographics
NPI:1871599381
Name:FARKASH, GIL MICHAEL (MD FACOG)
Entity type:Individual
Prefix:DR
First Name:GIL
Middle Name:MICHAEL
Last Name:FARKASH
Suffix:
Gender:M
Credentials:MD FACOG
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:240 REDTAIL DR
Mailing Address - Street 2:STE 5&6
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-3000
Mailing Address - Country:US
Mailing Address - Phone:716-677-0454
Mailing Address - Fax:716-712-0061
Practice Address - Street 1:240 REDTAIL DR
Practice Address - Street 2:STE 5&6
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-0000
Practice Address - Country:US
Practice Address - Phone:716-677-0454
Practice Address - Fax:716-712-0061
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-21
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY197614207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00010301707OtherUNIVERA
NY10172730OtherFIDELIS
NY943414339001OtherTRICARE
NY00524717011OtherBLUE CROSS & BLUE SHIELD
NY005247179OtherBLUE CROSS & BLUE SHIELD
NY943414339002OtherTRICARE
NYP61780144OtherMULTIPLAN
NY408755OtherWELLCARE
NY01744247Medicaid
NY0298342OtherGHI
NY160057078OtherMEDICARE RR
NY00524717010OtherBLUE CROSS & BLUE SHIELD
NY0709050OtherINDEPENDANT HEALTH
NY10172730OtherFIDELIS
NYDD0599Medicare PIN