Provider Demographics
NPI:1659623544
Name:MASER, DEBORAH D (MS)
Entity Type:Individual
Prefix:MISS
First Name:DEBORAH
Middle Name:D
Last Name:MASER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 W GIRARD BLVD
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217-1837
Mailing Address - Country:US
Mailing Address - Phone:716-874-5381
Mailing Address - Fax:
Practice Address - Street 1:1 DELAWARE RD
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14217-2743
Practice Address - Country:US
Practice Address - Phone:716-876-3901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist