Individual
MICHAEL IRVING WEITZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
777 N BROADWAY, SUITE 204, SLEEPY HOLLOW, NY 10591-1000
(914) 631-3660
(914) 631-0290
Mailing address
777 N BROADWAY, SUITE 204, SLEEPY HOLLOW, NY 10591-1000
(914) 631-3660
(914) 631-0290
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
218511
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0265578
—
NY
Enumeration date
07/19/2006
Last updated
08/06/2008
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