MEDICARE: DEBORAH WEINREBER

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	225X00000X	Occupational Therapist	004813-1	NY

General Provider Information

NPI Number	:	1407020621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH WEINREBER

Provider Business Mailing Address
First Line	:	39 OLD FARM CIR
Second Line	:
City	:	WEST SENECA
State	:	NY
Zip	:	14218-3721
Country	:	US
Telephone Number	:	716-675-0051
Fax Number	:

Provider Business Practice Location Address
First Line	:	39 OLD FARM CIR
Second Line	:
City	:	WEST SENECA
State	:	NY
Zip	:	14218-3721
Country	:	US
Telephone Number	:	716-675-0051
Fax Number	:

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

Provider Enumeration Date	:	04/18/2008
Last Update Date	:	04/18/2008

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