National Provider Identifier

Joy Ann Staggers-Deberny

Joy Ann Staggers-Deberny is listed in the NPPES registry with a primary specialty of Specialist in Amherst, NY and a listed phone number of (716) 625-0050.

NPI 1255319489Amherst, NYSpecialist

Profile Overview

NPI
1255319489
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
January 06, 2006
Last Updated
July 09, 2007

Practice Location

  • 3980 Sheridan Dr
  • Sutie 401
  • Amherst, NY 14226-1727

Phone: (716) 625-0050

Mailing Address

  • 5470 Tonawanda Creek RD
  • All Correspondence To Above Address
  • North Tonawanda, NY 14120-9540

Specialties

  • Specialist (174400000X)
Full Record
NPI
1255319489
Entity Type
Individual
Last Name
Staggers-Deberny
First Name
Joy
Middle Name
Ann
Name Prefix
Mrs.
Provider Other Last Name
Staggers-Deberny
Provider Other First Name
Joy
Provider Other Middle Name
Ann
Provider Other Name Prefix Text
Dr.
Provider Other Credential Text
M.D.
Provider Other Last Name Type Code
2
Mailing Street Address
5470 Tonawanda Creek RD
Mailing Address Line 2
All Correspondence To Above Address
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-9540
Mailing Country
US
Mailing Phone
(716) 625-0050
Mailing Fax
(716) 625-6701
Practice Street Address
3980 Sheridan Dr
Practice Address Line 2
Sutie 401
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-1727
Practice Country
US
Practice Phone
(716) 625-0050
Practice Fax
(716) 625-6701
Enumeration Date
January 06, 2006
Last Updated
July 09, 2007
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)
Other Identifiers
01561417 (NY)