Individual
DR. DAVID ROBERT DEBERNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3560 N BUFFALO ST, ORCHARD PARK, NY 14127-1934
(716) 662-8510
(716) 662-8574
Mailing address
3560 N BUFFALO ST, ORCHARD PARK, NY 14127-1934
(716) 662-8510
(716) 662-8574
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
189581
NY
208000000X
Pediatrics Physician
189581
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01470075
—
NY
Enumeration date
04/17/2006
Last updated
07/25/2007
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