National Provider Identifier
Derace Lan Schaffer, M.D.
Derace Lan Schaffer, M.D. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Rochester, NY and a listed phone number of (585) 263-2945.
Profile Overview
- NPI
- 1750623328
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- March 21, 2013
- Last Updated
- March 21, 2013
Practice Location
- 2263 Clinton Ave S
- Rochester, NY 14618-2623
Phone: (585) 263-2945
Mailing Address
- 1100 Grand Isle Dr
- Naples, FL 34108-3325
Specialties
- Diagnostic Radiology Physician (2085R0202X)
Full Record
- NPI
- 1750623328
- Entity Type
- Individual
- Last Name
- Schaffer
- First Name
- Derace
- Middle Name
- Lan
- Credential
- M.D.
- Mailing Street Address
- 1100 Grand Isle Dr
- Mailing City
- Naples
- Mailing State
- FL
- Mailing ZIP Code
- 34108-3325
- Mailing Country
- US
- Mailing Phone
- (205) 612-7500
- Practice Street Address
- 2263 Clinton Ave S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-2623
- Practice Country
- US
- Practice Phone
- (585) 263-2945
- Enumeration Date
- March 21, 2013
- Last Updated
- March 21, 2013
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X)