Steven William Weaver Jr., PA-C
Clinic/Center, Urgent Care in Schenectady, NY. Individual provider (NPI-1).
NPI number1528658564
StatusActive
Last updated in NPPESJan 23, 2021
Details
- NPI
- 1528658564
- Entity type
- Individual (NPI-1)
- Name
- Steven William Weaver Jr.
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 23, 2021
- Certification date
- Jan 23, 2021
- Last updated
- Jan 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | 026072 | NY | Yes |
Practice location
1400 Altamont AveSchenectady, NY 12303-2909
Phone 518-264-9000
Mailing address
16 1st StCohoes, NY 12047-3639
Phone 518-928-6357
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