National Provider Identifier

Elizabeth Louise Brewer

Elizabeth Louise Brewer is listed in the NPPES registry with a primary specialty of Specialist in Newark, NY and a listed phone number of (315) 331-2086.

NPI 1194089706Newark, NYSpecialist

Profile Overview

NPI
1194089706
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 28, 2012
Last Updated
June 28, 2012

Practice Location

  • 848 Peirson Ave
  • Newark, NY 14513-9762

Phone: (315) 331-2086

Mailing Address

  • 210 Wahl RD
  • Rochester, NY 14609-1812

Specialties

  • Specialist (174400000X)
Full Record
NPI
1194089706
Entity Type
Individual
Last Name
Brewer
First Name
Elizabeth
Middle Name
Louise
Name Prefix
MS.
Mailing Street Address
210 Wahl RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-1812
Mailing Country
US
Mailing Phone
(585) 330-7051
Practice Street Address
848 Peirson Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-9762
Practice Country
US
Practice Phone
(315) 331-2086
Enumeration Date
June 28, 2012
Last Updated
June 28, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)