Individual
RICHARD WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTHALMIC DISPENSER
Contact information
Practice address
2303 AVENUE Z, BROOKLYN, NY 11235-2805
(718) 646-5020
(718) 648-6393
Mailing address
21 VENUS LN, STATEN ISLAND, NY 10314-7592
(718) 494-6336
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5348
NY
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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