Individual
DR. MARY ELIZABETH ROEHMHOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 ESSJAY RD, STE 105, WILLIAMSVILLE, NY 14221-8208
(716) 634-6357
(716) 634-3448
Mailing address
300 ESSJAY RD, STE 105, WILLIAMSVILLE, NY 14221-8208
(716) 634-6357
(716) 634-3448
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
128036-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020058901
UNIVERA
NY
05
—
00481021
—
NY
01
—
005077825
BLUE CROSS /BLUE SHIELD
NY
01
—
05-02672
IHA
NY
01
—
130003589
MEDICARE RAILROAD
NY
01
—
389594
WELLCARE
NY
01
—
CPN-N-128036-1
NYS COMPENSATION
NY
Enumeration date
02/25/2008
Last updated
12/26/2013
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