Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 244148 | NY |
N | 111NI0900X | Internist | 244148 | NY |
N | 207RC0000X | Internist - Cardiovascular Disease | 244148 | NY |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 244148 | NY |
NPI | 1295992535 |
---|---|
Provider Name | Dr. Michael Raymond Weber |
First Address | New York, NY 10075-2277 |
Second Address | Smithtown, NY 11787-1431 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2008 |
Last Update Date | 22/05/2011 |