Organization
MARY ELIZABETH ROEHMHOLDT MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ELIZABETH ANNE ROEHMHOLDT MD (OWNER)
(716) 634-6357
Entity
Organization
Contact information
Practice address
300 ESSJAY ROAD, SUITE 105, WILLIAMSVILLE, NY 14221
(716) 634-6357
(716) 634-3448
Mailing address
300 ESSJAY ROAD, SUITE 105, WILLIAMSVILLE, NY 14221
(716) 634-6357
(716) 634-3448
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
128036
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020058901
UNIVERA
NY
05
—
00481021
—
NY
01
—
0502672
IHA
NY
01
—
CPNN128036
WORKERS COMPENSATION BD
NY
Enumeration date
04/02/2007
Last updated
02/19/2008
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