Individual
CASEY WEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15849 84TH ST, HOWARD BEACH, NY 11414-3020
(718) 322-3463
Mailing address
15849 84TH ST, HOWARD BEACH, NY 11414-3020
(718) 619-6424
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
317057
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2019
Last updated
07/13/2022
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