Individual
DR. MARK S. WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1841 MERRICK AVE, MERRICK, NY 11566-2736
(516) 374-6577
(516) 546-0654
Mailing address
1841 MERRICK AVE, MERRICK, NY 11566-2736
(516) 374-6577
(516) 546-0654
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01970
NY
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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