Individual
JOHN R WEINHOLD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 MAIN ST, OLEAN, NY 14760
(716) 372-0141
(716) 372-6421
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
1522551
NY
207RX0202X
Medical Oncology Physician
152255-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01071618
—
NY
05
—
01707813
—
NY
Enumeration date
12/07/2005
Last updated
06/01/2021
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