Individual
DR. MARY E SCHUETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
679 MAIN ST, REAR SUITE, EAST AURORA, NY 14052-2404
(716) 805-0755
(716) 805-0126
Mailing address
679 MAIN ST, REAR SUITE, EAST AURORA, NY 14052-2404
(716) 805-0755
(716) 805-0126
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1703961
NY
2080P0006X
Developmental - Behavioral Pediatrics Physician
1703961
NY
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
1703961
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01477590
—
NY
Enumeration date
03/29/2006
Last updated
11/23/2010
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