National Provider Identifier
Jonathan David Weaver
Jonathan David Weaver is listed in the NPPES registry with a primary specialty of Social Worker in Rochester, NY and a listed phone number of (585) 654-1500.
Profile Overview
- NPI
- 1033745856
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- March 13, 2020
- Last Updated
- March 13, 2020
Practice Location
- 1 Mustard St
- Rochester, NY 14609-6980
Phone: (585) 654-1500
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1033745856
- Entity Type
- Individual
- Last Name
- Weaver
- First Name
- Jonathan
- Middle Name
- David
- Mailing Street Address
- 1 Mustard St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-6980
- Mailing Country
- US
- Mailing Phone
- (585) 654-1500
- Practice Street Address
- 1 Mustard St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-6980
- Practice Country
- US
- Practice Phone
- (585) 654-1500
- Enumeration Date
- March 13, 2020
- Last Updated
- March 13, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 13, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)
- Other Identifiers
- 10451000000X (NY)