Canavire Weber, Carla
Canavire Weber, Carla is an individual health care provider with primary practice located at 1745 Union Blvd , Bay Shore NY 11706-7952. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Canavire Weber, Carla can be contacted via phone (631) 328-5560.Contact Information
Primary practice address
1745 Union Blvd
Bay Shore NY 11706-7952
Phone: (631) 328-5560
Fax: (631) 328-5559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2108831 | New York |
Profile Details
| NPI number | 1578632899 |
|---|---|
| LBN Legal business name | Canavire Weber, Carla |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Dec 3rd, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578632899 | NPPES |
| New York | MEDICAID | 01933499 |
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