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Individual

BRENDA WEISZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12 GWEN LN APT 101B, MONSEY, NY 10952-3392
(845) 405-5160
Mailing address
12 GWEN LN APT 101B, MONSEY, NY 10952-3392

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
892650
NY

Other

Enumeration date
06/20/2012
Last updated
06/20/2012
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Product
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  • EDI platform