MEDICARE: DR. SYDNEY WELT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RX0202X	Medical Oncology Physician	2025-03841	NC
2	207RX0202X	Medical Oncology Physician	MD423962	PA
3	207R00000X	Internal Medicine Physician	2025-03841	NC
4	207RX0202X	Medical Oncology Physician	140383-1	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CC8362	OTHER	NY	RR MEDICARE GROUP
2	CC9269	OTHER	PA	RR MEDICARE GROUP
4	GU039841	OTHER	PA	PA MEDICARE GROUP
5	P00098799	OTHER	NY	RR MEDICARE PIN
8	P00337163	OTHER	PA	RR MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740256809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYDNEY WELT MD

Provider Business Mailing Address
First Line	:	555 SAINT JOSEPHS BLVD
Second Line	:
City	:	ELMIRA
State	:	NY
Zip	:	14901-3223
Country	:	US
Telephone Number	:	607-737-7814
Fax Number	:	607-271-3430

Provider Business Practice Location Address
First Line	:	6387 RAMSEY ST UNIT 140
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28311-9442
Country	:	US
Telephone Number	:	910-615-3840
Fax Number	:	910-321-6216

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	02/06/2026

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Directions to “ DR. SYDNEY WELT MD” Practice Location

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