Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 133228 | NY |
NPI | 1043337165 |
---|---|
Provider Name | Lora Weiselberg |
First Address | Lake Success, NY 11042 |
Second Address | Lake Success, NY 11042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 08/07/2007 |