Individual
MARY D BIERBRAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3980 SHERIDAN DR, 6TH FL, AMHERST, NY 14226-1727
(716) 882-6544
(716) 882-6833
Mailing address
77 GOODELL ST, SUITE 320, BUFFALO, NY 14203-1243
(716) 816-7200
(716) 852-0760
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
415468-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03338869
—
NY
01
—
1578852786
BLUE CROSS
NY
01
—
6516597
INDEPENDENT HEALTH
NY
Enumeration date
03/29/2011
Last updated
11/18/2011
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