Individual
DEBORAH WEICHENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2121 BROADWAY, STE 401A, NEW YORK, NY 10023-1786
(212) 769-3535
(212) 496-1665
Mailing address
PO BOX 825, PLANETARIUM STATION, NEW YORK, NY 10024
(212) 769-3535
(212) 496-1665
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
164495
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01601165
—
NY
Enumeration date
07/17/2006
Last updated
03/25/2016
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