Weber, Miriam T

Weber, Miriam T is an individual health care provider with primary practice located at 601 Elmwood Ave Box 278984, Rochester NY 14642-0001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Weber, Miriam T can be contacted via phone (585) 273-3507.

Contact Information

Primary practice address
601 Elmwood Ave Box 278984 Rochester NY 14642-0001
Phone: (585) 273-3507
Fax: (585) 242-9164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 16859 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 016859 New York
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 016859 New York

Profile Details

NPI number 1588757975
LBN Legal business name Weber, Miriam T
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated Jul 5th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588757975 NPPES
New York MEDICAID 02818413

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