Individual
DR. DEBRA M OMIATEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
265 PORTAGE RD, LEWISTON, NY 14092-1710
(716) 754-4419
Mailing address
265 PORTAGE RD, LEWISTON, NY 14092-1710
(716) 754-4419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
188148-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01609925
—
NY
Enumeration date
07/08/2006
Last updated
05/09/2013
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