Individual
CAROL ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 SENECA ST STE 646C, BUFFALO, NY 14210-1351
(716) 995-4450
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
210055
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01817023
—
NY
Enumeration date
11/16/2006
Last updated
10/28/2019
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