Provider Demographics
NPI:1326060369
Name:BARTELS, POWALSKI & WEISSMAN, MD PC
Entity Type:Organization
Organization Name:BARTELS, POWALSKI & WEISSMAN, MD PC
Other - Org Name:BARTELS POWALSKI WEISSMAN MD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:STOIBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-206-0692
Mailing Address - Street 1:6440 TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:DEPEW
Mailing Address - State:NY
Mailing Address - Zip Code:14043-1033
Mailing Address - Country:US
Mailing Address - Phone:716-684-5454
Mailing Address - Fax:
Practice Address - Street 1:6440 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-1033
Practice Address - Country:US
Practice Address - Phone:716-684-5454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY12203AMedicare ID - Type Unspecified