Evan Weissman D.O.

NPI 1033209804 - Pediatrics - 208000000X

NPI Details
NPI 1033209804
Gender Male
Enumeration Date 10/13/2006
Last Updated 04/08/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
4 MEDICAL PARK DR
4C
POMONA NY, 10970-3516, US
Phone (845) 362-0202
Fax (845) 362-1347
Business Location
4 MEDICAL PARK DR
4C
POMONA NY, 10970-3516, US
Phone (845) 362-0202
Fax (845) 362-1347
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number BW6237653
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According to our database, Evan Weissman D.O. NPI is 1033209804, taxonomy code is 208000000X and license number is BW6237653, license state is located at New York. Evan Weissman D.O. physically located at 4 Medical Park Dr, Pomona NY, 10970-3516. NPI Number Evan Weissman D.O. has the Individual type.

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1033209804 NPI number is provided on an as is basis without warranty of any kind. 1033209804 is maintained by the National Plan & Provider Enumeration System. The contents of Evan Weissman D.O. are for informational purposes only.