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Individual

DR. SHENNAN AIBEL WEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
100 NICOLLS RD RM 20, STONY BROOK, NY 11794-5211
(631) 444-2599
Mailing address
909 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-1234
(215) 955-3745

Taxonomy

Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
300830-01
NY
2084N0400X
Neurology Physician
Primary
MD457821
PA

Other

Enumeration date
04/21/2010
Last updated
05/14/2024
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