National Provider Identifier

John Weston, D.O.

John Weston, D.O. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Elmira, NY and a listed phone number of (607) 734-1581.

NPI 1780630830Elmira, NYFamily Medicine Physician

Profile Overview

NPI
1780630830
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
May 26, 2006
Last Updated
December 01, 2020

Practice Location

  • 200 Madison Ave Fl 3
  • Elmira, NY 14901-3219

Phone: (607) 734-1581

Mailing Address

  • 571 Saint Josephs Blvd Fl 2
  • Elmira, NY 14901-3230

Specialties

  • Family Medicine Physician (207Q00000X)
  • Emergency Medicine Physician (207P00000X)
Full Record
NPI
1780630830
Entity Type
Individual
Last Name
Weston
First Name
John
Credential
D.O.
Mailing Street Address
571 Saint Josephs Blvd Fl 2
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Mailing Fax
(607) 873-1244
Practice Street Address
200 Madison Ave Fl 3
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-3219
Practice Country
US
Practice Phone
(607) 734-1581
Practice Fax
(607) 734-0972
Enumeration Date
May 26, 2006
Last Updated
December 01, 2020
Sex
Male
Sole Proprietor
No
Certification Date
December 01, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X), Emergency Medicine Physician (207P00000X)
Other Identifiers
02383448 (NY), 000153632 (NY, Blue Shield)