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NPI Code Detail

MEDICARE: EMILY WEBER MD

MEDICARE: EMILY WEBER 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
12080P0204XPediatric Emergency Medicine (Pediatrics) Physician294900NY
2208000000XPediatrics Physician25MA12363900NJ

General Provider Information

NPI Number : 1336528330
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY WEBER MD
Provider Business Mailing Address
First Line : 100 KINGS HWY S
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-5504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2601 OCEAN PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-7745
Country : US
Telephone Number : 187-616-4344
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2015
Last Update Date : 03/13/2026

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