Individual
ALAN B ROESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3344 CHAMBERS RD, HORSEHEADS, NY 14845-1403
(607) 734-2264
(607) 734-2932
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
130308
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00372665
—
NY
01
—
161355553
BUSINESS TAX ID
—
Enumeration date
06/20/2006
Last updated
03/30/2018
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