Individual
EDWARD THOMAS WEICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPAC
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-8312
(516) 663-2184
Mailing address
700 HICKSVILLE RD, BETHPAGE, NY 11714-3471
(516) 576-6106
(516) 576-5801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008816
NY
Other
Enumeration date
05/01/2008
Last updated
02/04/2013
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