Provider Demographics
NPI:1285461996
Name:WESTERMAN, BETTY ELAINE (EIC)
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:ELAINE
Last Name:WESTERMAN
Suffix:
Gender:F
Credentials:EIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 CLIFF ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12122-6423
Mailing Address - Country:US
Mailing Address - Phone:518-801-6591
Mailing Address - Fax:518-295-8786
Practice Address - Street 1:284 MAIN ST
Practice Address - Street 2:
Practice Address - City:SCHOHARIE
Practice Address - State:NY
Practice Address - Zip Code:12157-2120
Practice Address - Country:US
Practice Address - Phone:518-295-8789
Practice Address - Fax:518-295-8786
Is Sole Proprietor?:No
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator