Individual
MICHAEL S MOGERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1540 MAPLE RD, WILLIAMSVILLE, NY 14221-3647
(716) 688-3100
(716) 692-4342
Mailing address
PO BOX 8000, DEPT 164, BUFFALO, NY 14267-0002
(716) 692-2160
(716) 692-4342
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
07/08/2007
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