Individual
DR. WALTER WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-0333
Mailing address
216 1ST ST, MINEOLA, NY 11501-3901
(516) 741-0570
(516) 741-8276
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
171377-1
NY
207LP3000X
Pediatric Anesthesiology Physician
Primary
171377
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01214355
—
NY
Enumeration date
02/08/2006
Last updated
07/21/2022
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