Weiss, Beth Mara

Weiss, Beth Mara is an individual health care provider with primary practice located at 24 Carrow St , Orchard Park NY 14127-2604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Weiss, Beth Mara can be contacted via phone (716) 662-3443.

Contact Information

Primary practice address
24 Carrow St Orchard Park NY 14127-2604
Phone: (716) 662-3443
Fax: (716) 626-8282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F380593 New York

Profile Details

NPI number 1205937513
LBN Legal business name Weiss, Beth Mara
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205937513 NPPES
New York MEDICAID 02529775

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