Individual
DR. ELVIN D WITMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
571 TERRACE BLVD, DEPEW, NY 14043-3610
(716) 683-4196
(716) 646-0763
Mailing address
571 TERRACE BLVD, DEPEW, NY 14043-3610
(716) 683-4196
(716) 646-0763
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2104211
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020022602
UNIVERA HEALTHCARE
NY
01
—
000525241003
BLUE SHIELD WNY
NY
05
—
01886039
—
NY
01
—
0191742
INDEPENDENT HEALTH ASSOC
NY
01
—
080134287
RAILROAD MEDICARE
NY
Enumeration date
06/14/2006
Last updated
02/27/2024
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