Organization
ILJA J WEINRIEB MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILJA JULIUS WEINRIEB MD (PRES)
(716) 636-9056
Entity
Organization
Contact information
Practice address
1150 YOUNGS RD, SUITE 205, WILLIAMSVILLE, NY 14221
(716) 636-9056
(716) 636-9750
Mailing address
1150 YOUNGS RD, SUITE 205, WILLIAMSVILLE, NY 14221
(716) 636-9056
(716) 636-9750
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
134156
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000507599003
BCBS
—
01
—
2300804
IHA
—
Enumeration date
09/02/2006
Last updated
06/17/2008
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