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NPI Code Detail

MEDICARE: ELIZABETH ANN WEINGARTEN MD

MEDICARE: ELIZABETH ANN WEINGARTEN 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
1207Q00000XFamily Medicine Physician0101238905VA
2207Q00000XFamily Medicine Physician257093-1NY
3207Q00000XFamily Medicine Physician091622OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
27171378OTHEROHCIGNA

General Provider Information

NPI Number : 1508820242
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANN WEINGARTEN MD
Provider Business Mailing Address
First Line : 112 OLEAN ST
Second Line : SUITE 220
City : EAST AURORA
State : NY
Zip : 14052-2540
Country : US
Telephone Number : 716-805-1072
Fax Number : 716-805-1073
Provider Business Practice Location Address
First Line : 112 OLEAN ST
Second Line : SUITE 220
City : EAST AURORA
State : NY
Zip : 14052-2540
Country : US
Telephone Number : 716-805-1072
Fax Number : 716-805-1073
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2006
Last Update Date : 08/18/2010

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Directions to “ ELIZABETH ANN WEINGARTEN MD” Practice Location

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