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Individual

MICHAEL S MOGERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5500 MAIN ST STE 311, WILLIAMSVILLE, NY 14221-6753
(716) 831-9030
(716) 831-9075
Mailing address
PO BOX 643, AMHERST, NY 14226-0643
(716) 831-9030
(716) 831-9075

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
196919
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01557937
NY
Enumeration date
05/20/2006
Last updated
05/26/2026
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