Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 236089 | NY |
NPI | 1063488625 |
---|---|
Provider Name | Dr. Nirit Weiss |
First Address | New York, NY 10029-6574 |
Second Address | New York, NY 10029-6574 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 23/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02665483 | (05) | NY |
I09088 | (02) | NY |