National Provider Identifier
Elaine B Widener
Elaine B Widener is listed in the NPPES registry with a primary specialty of Specialist in Mount Morris, NY and a listed phone number of (585) 658-4023.
Profile Overview
- NPI
- 1992040737
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- December 05, 2012
- Last Updated
- December 05, 2012
Practice Location
- 5871 Groveland Station RD
- Mount Morris, NY 14510-9767
Phone: (585) 658-4023
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1992040737
- Entity Type
- Individual
- Last Name
- Widener
- First Name
- Elaine
- Middle Name
- B
- Name Prefix
- Mrs.
- Mailing Street Address
- 5871 Groveland Station RD
- Mailing City
- Mount Morris
- Mailing State
- NY
- Mailing ZIP Code
- 14510-9767
- Mailing Country
- US
- Mailing Phone
- (585) 658-4023
- Practice Street Address
- 5871 Groveland Station RD
- Practice City
- Mount Morris
- Practice State
- NY
- Practice ZIP Code
- 14510-9767
- Practice Country
- US
- Practice Phone
- (585) 658-4023
- Enumeration Date
- December 05, 2012
- Last Updated
- December 05, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)
- Other Identifiers
- 073359841 (NY, New York State Education Department)