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Individual

DR. LAWRENCE J WEISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1761 ROCKAWAY PKWY, BROOKLYN, NY 11236
(718) 531-9100
(718) 968-9469
Mailing address
1761 ROCKAWAY PKWY, BROOKLYN, NY 11236
(718) 531-9100
(718) 968-9469

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043555
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01366169
NY
Enumeration date
04/23/2008
Last updated
02/04/2013
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