Provider Demographics
NPI:1851451397
Name:WEISBROT, AARON (DPM)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:WEISBROT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2084 SHERIDAN DR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14223-1400
Mailing Address - Country:US
Mailing Address - Phone:716-877-3624
Mailing Address - Fax:716-877-8409
Practice Address - Street 1:2084 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14223-1400
Practice Address - Country:US
Practice Address - Phone:716-877-3624
Practice Address - Fax:716-877-8409
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO1643213E00000X
NYN003471-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00833981 9Medicaid
NYT88259Medicare UPIN
NY00833981 9Medicaid