Individual
DR. GEOFFREY WEISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PLLC
Contact information
Practice address
233 UNION AVE, SUITE 103, HOLBROOK, NY 11741-1820
(631) 585-7771
(631) 585-2720
Mailing address
233 UNION AVE, SUITE 103, HOLBROOK, NY 11741-1820
(631) 585-7771
(631) 585-2720
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
138665
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00694133
—
NY
Enumeration date
11/07/2006
Last updated
09/28/2007
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