National Provider Identifier

Kristy Weaver

Kristy Weaver is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 697-1557.

NPI 1306109194Rochester, NYSpecialist

Profile Overview

NPI
1306109194
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 18, 2012
Last Updated
June 18, 2012

Practice Location

  • 1870 Winton RD S
  • Rochester, NY 14618-3960

Phone: (585) 697-1557

Mailing Address

  • 1045 James St
  • Syracuse, NY 13203-2730

Specialties

  • Specialist (174400000X)
Full Record
NPI
1306109194
Entity Type
Individual
Last Name
Weaver
First Name
Kristy
Mailing Street Address
1045 James St
Mailing City
Syracuse
Mailing State
NY
Mailing ZIP Code
13203-2730
Mailing Country
US
Mailing Phone
(585) 425-1004
Practice Street Address
1870 Winton RD S
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-3960
Practice Country
US
Practice Phone
(585) 697-1557
Enumeration Date
June 18, 2012
Last Updated
June 18, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)