Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 270654 | NY |
N | 207YS0123X | Facial Plastic Surgeon | 270654 | NY |
NPI | 1942466339 |
---|---|
Provider Name | Joshua D Weissman |
First Address | Tarrytown, NY 10591-5139 |
Second Address | Yonkers, NY 10701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2008 |
Last Update Date | 04/04/2019 |