Healthcare Provider Details

I. General information

NPI: 1982923165
Provider Name (Legal Business Name): ELIZABETH KATHLEEN NEWTON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH KATHLEEN GEHRKE NP

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 LAKE ST STE LOWER
HAMBURG NY
14075-4951
US

IV. Provider business mailing address

38 LAKE ST STE LOWER
HAMBURG NY
14075-4951
US

V. Phone/Fax

Practice location:
  • Phone: 716-325-0222
  • Fax: 716-222-7710
Mailing address:
  • Phone: 716-325-0222
  • Fax: 716-222-7710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF340877-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number405512
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: