MEDICARE: SHARON R WEIR NYSCPS

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	175T00000X	Peer Specialist		NY

General Provider Information

NPI Number	:	1265381453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON R WEIR NYSCPS

Provider Business Mailing Address
First Line	:	63 GREELEY ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14207-2203
Country	:	US
Telephone Number	:	716-380-6310
Fax Number	:

Provider Business Practice Location Address
First Line	:	586 GENESEE ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14204-1323
Country	:	US
Telephone Number	:	716-815-4030
Fax Number	:

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

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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Directions to “ SHARON R WEIR NYSCPS” Practice Location

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