Individual
DR. ERIC WEIDERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1001 MAIN ST, BUFFALO, NY 14203-1009
(716) 323-6410
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-6410
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
330623-01
NY
Other
Enumeration date
05/12/2018
Last updated
08/10/2024
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