Provider Demographics
NPI:1952589475
Name:JANET B WESTENBERGER DO PC
Entity type:Organization
Organization Name:JANET B WESTENBERGER DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:B
Authorized Official - Last Name:WESTENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:716-662-9336
Mailing Address - Street 1:41 MIDDLEBURY RD
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-3963
Mailing Address - Country:US
Mailing Address - Phone:716-662-9336
Mailing Address - Fax:716-662-9236
Practice Address - Street 1:3875 N BUFFALO ST
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1883
Practice Address - Country:US
Practice Address - Phone:716-667-9336
Practice Address - Fax:716-662-9236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY179405207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA1210Medicare PIN