Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 211461 | NY |
Y | 2086S0129X | Vascular Surgeon | 216882 | MA |
NPI | 1053301770 |
---|---|
Provider Name | Dr. Todd Scott Weiser |
First Address | White Plains, NY 10605-1030 |
Second Address | White Plains, NY 10605-1030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2005 |
Last Update Date | 31/01/2014 |