Healthcare Provider Details

I. General information

NPI: 1003445339
Provider Name (Legal Business Name): DEBORAH MARIE GIERMEK RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2020
Last Update Date: 04/07/2020
Certification Date: 04/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 ABBOTT RD
BUFFALO NY
14220-2095
US

IV. Provider business mailing address

106 LINDSEY LN
ORCHARD PARK NY
14127-4250
US

V. Phone/Fax

Practice location:
  • Phone: 716-826-7000
  • Fax:
Mailing address:
  • Phone: 716-864-3903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number706398
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: