Individual
DERACE LAN SCHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2263 CLINTON AVE S, ROCHESTER, NY 14618-2623
(585) 263-2945
Mailing address
1100 GRAND ISLE DR, NAPLES, FL 34108-3325
(205) 612-7500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
131830-1
NY
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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