Individual
DR. ELIZABETH A. WEDEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT OF PEDIATRICS, NEW YORK, NY 10032-1559
(221) 304-7250
(212) 544-1974
Mailing address
60 SOUTHLAWN AVE, DOBBS FERRY, NY 10522-3520
(914) 674-0601
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
174722
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01271085
—
NY
Enumeration date
03/08/2006
Last updated
10/09/2012
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