National Provider Identifier

Debra Lynn Roetzer

Debra Lynn Roetzer is listed in the NPPES registry with a primary specialty of Specialist in Corfu, NY and a listed phone number of (716) 548-1149.

NPI 1316208366Corfu, NYSpecialist

Profile Overview

NPI
1316208366
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 06, 2012
Last Updated
June 06, 2012

Practice Location

  • 1078 Sliker RD
  • Corfu, NY 14036-9791

Phone: (716) 548-1149

Specialties

  • Specialist (174400000X)
Full Record
NPI
1316208366
Entity Type
Individual
Last Name
Roetzer
First Name
Debra
Middle Name
Lynn
Name Prefix
Mrs.
Mailing Street Address
1078 Sliker RD
Mailing City
Corfu
Mailing State
NY
Mailing ZIP Code
14036-9791
Mailing Country
US
Mailing Phone
(716) 548-1149
Practice Street Address
1078 Sliker RD
Practice City
Corfu
Practice State
NY
Practice ZIP Code
14036-9791
Practice Country
US
Practice Phone
(716) 548-1149
Enumeration Date
June 06, 2012
Last Updated
June 06, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)