Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 165534 | NY |
NPI | 1013950351 |
---|---|
Provider Name | Dr. Scott S Weissman |
First Address | New York, NY 10017-1697 |
Second Address | New York, NY 10017-1697 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 30/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01133357 | (05) | NY |
13F501 | (02) | NY |