Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 053288 | NY |
N | 204E00000X | Oral & Maxillofacial Surgeon | 271496 | NY |
NPI | 1417162116 |
---|---|
Provider Name | Dr. Zachary C. Weber |
First Address | Mount Kisco, NY 10549-3440 |
Second Address | Mount Kisco, NY 10549-3440 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 20/07/2020 |