| Mary Elizabeth Roehmholdt Md | |
|
300 Essjay Road Suite 105 Williamsville NY 14221 | |
| (716) 634-6357 | |
| (716) 634-3448 |
| Full Name | Mary Elizabeth Roehmholdt Md |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 300 Essjay Road, Williamsville, New York |
| Authorized Official Name and Position | Mary Elizabeth Anne Roehmholdt (OWNER) |
| Authorized Official Contact | 7166346357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Elizabeth Roehmholdt Md 300 Essjay Road Suite 105 Williamsville NY 14221 Ph: (716) 634-6357 | Mary Elizabeth Roehmholdt Md 300 Essjay Road Suite 105 Williamsville NY 14221 Ph: (716) 634-6357 |
| NPI Number | 1952422792 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 02/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952422792 | NPI | - | NPPES |
| 0502672 | Other | NY | IHA |
| 00481021 | Medicaid | NY | |
| 00020058901 | Other | NY | UNIVERA |
| CPNN128036 | Other | NY | WORKERS COMPENSATION BD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 128036 (New York) | Primary |
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