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NPI Code Detail

MEDICARE: BARBARA WELDON

MEDICARE: BARBARA WELDON
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1306404009
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA WELDON
Provider Business Mailing Address
First Line : PO BOX 710
Second Line :
City : KENMORE
State : NY
Zip : 14217-0710
Country : US
Telephone Number : 716-882-2127
Fax Number : 716-882-9277
Provider Business Practice Location Address
First Line : 2495 ELMWOOD AVE
Second Line :
City : KENMORE
State : NY
Zip : 14217-2222
Country : US
Telephone Number : 716-871-7092
Fax Number : 716-871-0275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2019
Last Update Date : 05/29/2019

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