Individual
DR. DIANA E. WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVE, SUITE B4-333, BROOKLYN, NY 11203-2056
(718) 270-4714
(718) 270-1985
Mailing address
450 CLARKSON AVE, BOX 1262, BROOKLYN, NY 11203-2056
(718) 270-8867
(718) 270-1794
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
202166-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02069107
—
NY
Enumeration date
01/04/2006
Last updated
03/30/2015
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