Individual
MRS. BETH MARA WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
24 CARROW ST, ORCHARD PARK, NY 14127-2604
(716) 662-3443
(716) 626-8282
Mailing address
24 CARROW ST, ORCHARD PARK, NY 14127-2604
(716) 662-3443
(716) 626-8282
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380593
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02529775
—
NY
Enumeration date
09/26/2006
Last updated
07/08/2007
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