Kory C Weaver, LCSW is a
Counselor - Mental Health based in Averill Park, New York. Kory C Weaver is licensed to practice in * (Not Available) (license number ) and his current practice location is
2 Debbie Ln, Averill Park, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 992-6741.
NPI number for Kory C Weaver is 1073660494 and his current mailing address is 2 Debbie Ln, Averill Park, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073660494.
Healthcare Provider's Profile
Full Name | Kory C Weaver |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 2 Debbie Ln, Averill Park, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073660494
- Provider Enumeration Date: 01/05/2007
- Last Update Date: 08/02/2024
Medical Identifiers
Medical identifiers for Kory C Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073660494 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kory C Weaver is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kory C Weaver, LCSW 2 Debbie Ln, Averill Park, NY 12018-2732 Ph: (518) 283-8420 | Kory C Weaver, LCSW 2 Debbie Ln, Averill Park, NY 12018-2732 Ph: (518) 992-6741 |
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