Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 274372 | NY |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 35-080927 | OH |
NPI | 1033147772 |
---|---|
Provider Name | Norman Weir |
First Address | Watertown, NY 13601-6430 |
Second Address | Watertown, NY 13601-4063 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 16/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2589908 | (05) | OH |
P00223142 | RAILROAD (01) | OH |