Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 141284 | NY |
NPI | 1255393708 |
---|---|
Provider Name | Dr. Steven Daniel Weiss |
First Address | Orchard Park, NY 14127-2604 |
Second Address | Orchard Park, NY 14127-2604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 04/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00010187102 | UNIVERA HEALTHCARE (01) | NY |
000511214004 | BLUE CROSS/BLUE SHIELD (HEALTH NOW) (01) | NY |
01044673 | (05) | NY |
1205479 | INDEPENDENT HEALTH ASSOCIATION (01) | NY |