| Ilja J Weinrieb Md Pc | |
|
1150 Youngs Rd Suite 205 Williamsville NY 14221 | |
| (716) 636-9056 | |
| (716) 636-9750 |
| Full Name | Ilja J Weinrieb Md Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1150 Youngs Rd, Williamsville, New York |
| Authorized Official Name and Position | Ilja Julius Weinrieb (PRES) |
| Authorized Official Contact | 7166369056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ilja J Weinrieb Md Pc 1150 Youngs Rd Suite 205 Williamsville NY 14221 Ph: (716) 636-9056 | Ilja J Weinrieb Md Pc 1150 Youngs Rd Suite 205 Williamsville NY 14221 Ph: (716) 636-9056 |
| NPI Number | 1932201829 |
|---|---|
| Provider Enumeration Date | 09/02/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932201829 | NPI | - | NPPES |
| 000507599003 | Other | BCBS | |
| 2300804 | Other | IHA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 134156 (New York) | Primary |
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