Basic Information
| Provider Information | |||||||||
| NPI: | 1871599381 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FARKASH | ||||||||
| FirstName: | GIL | ||||||||
| MiddleName: | MICHAEL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD FACOG | ||||||||
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| Mailing Information | |||||||||
| Address1: | 240 REDTAIL DR | ||||||||
| Address2: | STE 5&6 | ||||||||
| City: | ORCHARD PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 141273000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7166770454 | ||||||||
| FaxNumber: | 7167120061 | ||||||||
| Practice Location | |||||||||
| Address1: | 240 REDTAIL DR | ||||||||
| Address2: | STE 5&6 | ||||||||
| City: | ORCHARD PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 141270000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7166770454 | ||||||||
| FaxNumber: | 7167120061 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2005 | ||||||||
| LastUpdateDate: | 06/30/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 197614 | NY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 00010301707 | 01 | NY | UNIVERA | OTHER | 10172730 | 01 | NY | FIDELIS | OTHER | 943414339001 | 01 | NY | TRICARE | OTHER | 00524717011 | 01 | NY | BLUE CROSS & BLUE SHIELD | OTHER | 005247179 | 01 | NY | BLUE CROSS & BLUE SHIELD | OTHER | 943414339002 | 01 | NY | TRICARE | OTHER | P61780144 | 01 | NY | MULTIPLAN | OTHER | 408755 | 01 | NY | WELLCARE | OTHER | 01744247 | 05 | NY | MEDICAID | 0298342 | 01 | NY | GHI | OTHER | 160057078 | 01 | NY | MEDICARE RR | OTHER | 00524717010 | 01 | NY | BLUE CROSS & BLUE SHIELD | OTHER | 0709050 | 01 | NY | INDEPENDANT HEALTH | OTHER |