Organization
WEISSMAN ENDOSCOPY OBS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM WEISSMAMN MD (MEDICAL DIRECTOR)
(718) 854-5100
Entity
Organization
Contact information
Practice address
202 FOSTER AVE, SUITE C, BROOKLYN, NY 11230-2119
(718) 854-5100
(718) 854-6200
Mailing address
27 WHITE DR, CEDARHURST, NY 11516-2607
(718) 854-5100
(718) 854-6200
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
187803
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01659961
—
NY
Enumeration date
03/22/2007
Last updated
08/22/2020
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