Individual
MARY R WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
565 ABBOTT RD, DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION, BUFFALO, NY 14220-2039
(716) 828-8260
(716) 828-3563
Mailing address
3 DALE RD, ORCHARD PARK, NY 14127-3508
(716) 655-2690
(716) 655-2691
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
190403
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010957002
UNIVERA
NY
01
—
00010957003
MERCY HOSPITAL UNIVERA
NY
01
—
00010957004
UNIVERA
NY
01
—
000523798003
BLUE CROSS BLUE SHIELD
NY
01
—
000523798004
BCBS
NY
01
—
0005237982
MERCY HOSPITAL BCBS
NY
01
—
0140157
GHI
NY
05
—
01575460
—
NY
01
—
3007330
INDEPENDENT HEALTH
NY
Enumeration date
08/03/2005
Last updated
06/17/2008
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