Individual
MR. CRAIG ALAN WEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ANP
Contact information
Practice address
1304 DRIVING PARK AVE, NEWARK, NY 14513-1059
(315) 359-2133
(315) 359-2139
Mailing address
1304 DRIVING PARK AVE, NEWARK, NY 14513-1059
(315) 395-2213
(315) 359-2139
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F-304637
NY
Other
Enumeration date
06/23/2007
Last updated
05/06/2021
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