Provider Demographics
NPI:1780755850
Name:WEHBEH, WEHBEH A (MD)
Entity type:Individual
Prefix:
First Name:WEHBEH
Middle Name:A
Last Name:WEHBEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 LAUREL AVE
Mailing Address - Street 2:DIVISION OF INFECTIOUS DISEASES
Mailing Address - City:SEA CLIFF
Mailing Address - State:NY
Mailing Address - Zip Code:11579-1915
Mailing Address - Country:US
Mailing Address - Phone:516-801-3509
Mailing Address - Fax:516-801-3509
Practice Address - Street 1:5645 MAIN ST
Practice Address - Street 2:DIVISION OF INFECTIOUS DISEASES
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5045
Practice Address - Country:US
Practice Address - Phone:718-670-1525
Practice Address - Fax:718-661-7899
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-12
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231548207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY178980OtherELDERPLAN
NY220A0OtherBLUE CROSS
NYP3588513OtherOXFORD
NY0006299OtherGHI
NY0007082660OtherAETNA
NY01961962Medicaid
NY178980OtherELDERPLAN
NY06299Medicare ID - Type Unspecified