Scott Weiss
Orthodontists
1 Bay Club Dr Apt. Phx
Bayside
, New York 11360-2915
Scott Weiss
Orthodontists
1 Bay Club Dr Apt. Phx
Bayside
, New York 11360-2915
(718) 597-6230
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Scott Weiss
- 1 Bay Club Dr Apt. Phx
- Bayside, NY
- Zip : 11360-2915
- Fax : (718) 597-6230
- Phone : (718) 597-3584
Second Address
- Scott Weiss
- 1 Bay Club Dr Apt. Phx
- Bayside, NY
- Zip : 11360-2915
- Phone : (718) 597-3584
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 039629 | NY |
National Provider Identifier
| NPI | 1003026899 |
|---|---|
| Provider Name | Scott Weiss |
| First Address | Bayside, NY 11360-2915 |
| Second Address | Bayside, NY 11360-2915 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01156321 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.