Individual
SPENCER WEISBOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C PED
Contact information
Practice address
1841 BROADWAY, #606, NEW YORK, NY 10023-7603
(212) 265-3463
(212) 265-9726
Mailing address
1841 BROADWAY, #606, NEW YORK, NY 10023-7603
(212) 265-3463
(212) 265-9726
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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