Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Anthony Gallucci, DO

Individual provider Family Medicine Physician · NPI 1346508991

Derek Anthony Gallucci, DO is a Family Practice in Williamsville, New York. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2012, 14 years ago. Practices with Primary Care of Western New York LLP, a 37-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
14
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
NY
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

30 N Union Rd Ste 102
Williamsville, NY 14221-5367
Phone: (716) 839-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 279555 (NY)

Record details

NPI number1346508991
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 1, 2012
Last updated in NPPESApril 26, 2016
Mailing address30 N Union Rd Ste 102, Williamsville, NY 14221-5367

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2012 (14 years in practice)
Group practice Primary Care Of Western New York Llp — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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