Individual
ERIC J THIERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1835 MAPLE RD, WILLIAMSVILLE, NY 14221-2780
(716) 634-5410
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
219381
NY
208000000X
Pediatrics Physician
219381
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04231010
—
NY
Enumeration date
02/06/2006
Last updated
07/21/2022
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