National Provider Identifier
Ethan Leo Welch, MD
Ethan Leo Welch, MD is listed in the NPPES registry with a primary specialty of Specialist in Webster, NY and a listed phone number of (585) 787-0055.
Profile Overview
- NPI
- 1962709733
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- February 14, 2011
- Last Updated
- February 14, 2011
Practice Location
- 656 Admiralty Way
- Webster, NY 14580-3904
Phone: (585) 787-0055
Specialties
- Specialist (174400000X)
- Research Study Specialist (1744R1102X)
Full Record
- NPI
- 1962709733
- Entity Type
- Individual
- Last Name
- Welch
- First Name
- Ethan
- Middle Name
- Leo
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 656 Admiralty Way
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-3904
- Mailing Country
- US
- Mailing Phone
- (585) 787-0055
- Practice Street Address
- 656 Admiralty Way
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-3904
- Practice Country
- US
- Practice Phone
- (585) 787-0055
- Enumeration Date
- February 14, 2011
- Last Updated
- February 14, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X), Research Study Specialist (1744R1102X)
- Other Identifiers
- 81770 (NY, New York State License)