Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 219714 | NY |
NPI | 1083683163 |
---|---|
Provider Name | Dr. Moshe Weiss |
First Address | Suffern, NY 10901 |
Second Address | Spring Valley, NY 10977 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 08/07/2007 |