Gabriella Clare, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Derby, NY
NPI 1447056569 · NPPES record last updated Feb 20, 2025
Key facts
- NPI
- 1447056569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F355206-01 (NY)
- Practice address
- 6763 Erie Rd
Derby, NY 14047-9670 - Phone
- (716) 947-2222
- Fax
- (716) 947-2223
- NPI assigned
- Feb 20, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F355206-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Mulawka DO, PC | Past |
Accepting new patients | |
| John Mulawka DO PC | Past |
Accepting new patients |
Interoperability endpoints
- gclare@dsdpediatrics.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F355206-01 | NY | Yes |
Addresses
Primary practice location
6763 Erie Rd
Derby, NY 14047-9670
Mailing address
6763 Erie Rd
Derby, NY 14047-9670
Phone (716) 947-2222
Other practice location 1
194 Central Ave
Silver Creek, NY 14136-1338
Phone (716) 934-3333
Other practice location 2
2310 William St
Cheektowaga, NY 14206-2527
Phone (716) 222-3333
Other practice location 3
1707 Abbott Rd
Lackawanna, NY 14218-2940
Phone (716) 599-1444
Other practice location 4
4470 Bay View Rd
Hamburg, NY 14075-1335
Phone (716) 646-4646
Other practice location 5
402 Main St
Dunkirk, NY 14048-2721
Phone (716) 366-6111
Other providers in Derby, NY
- Paul John Caro
- Morris M Cavalieri
- Sarah Beth Celia
- Sandra Chandia
- Claddagh Commission, Inc.
- Jay F. Clark
- Denise Clouse
- Cory Joseph Coleman
- Dakota Rose Coles
- Nico Conorozzo
All providers in Derby, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.