Individual
MRS. GLORIA ROETZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2730 UNION ROAD, CHEEKTOWAGA, NY 14227
(716) 332-7377
(716) 568-8228
Mailing address
2730 UNION ROAD, CHEEKTOWAGA, NY 14227
(716) 332-7377
(888) 452-3065
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
206060
NY
208000000X
Pediatrics Physician
Primary
206060-1
NY
2080A0000X
Pediatric Adolescent Medicine Physician
206060-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01747066
—
NY
Enumeration date
02/07/2006
Last updated
06/11/2018
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