Individual
JENNIFER ROLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2625 HARLEM RD, SUITE 210, CHEEKTOWAGA, NY 14225-4031
(716) 893-7337
(716) 893-7699
Mailing address
2625 HARLEM RD, SUITE 210, CHEEKTOWAGA, NY 14225-4031
(716) 893-7337
(716) 893-7699
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
229568
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026491301
UNIVERA
NY
01
—
000527405001
BLUE CROSS
NY
01
—
050602000020
FIDELIS
NY
01
—
1211730
INDEPENDENT HEALTH
NY
01
—
145776DL
PREFERRED CARE
NY
Enumeration date
07/01/2006
Last updated
04/28/2020
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