MEDICARE: DR. GENEVIEVE NICOLE WEBER PHD

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	101YM0800X	Mental Health Counselor	004123	NY

General Provider Information

NPI Number	:	1770430126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GENEVIEVE NICOLE WEBER PHD

Provider Business Mailing Address
First Line	:	53 MIDLAND AVE
Second Line	:
City	:	RYE
State	:	NY
Zip	:	10580-3530
Country	:	US
Telephone Number	:	917-968-5409
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 ELM PL
Second Line	:
City	:	RYE
State	:	NY
Zip	:	10580-2951
Country	:	US
Telephone Number	:	914-315-9368
Fax Number	:

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

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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