Individual
BERNARD WEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4820 5TH AVE, BROOKLYN, NY 11220
(718) 439-7070
(718) 439-0270
Mailing address
4820 5TH AVE, BROOKLYN, NY 11220
(718) 439-7070
(718) 439-0270
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
003596
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00343908
—
NY
Enumeration date
12/18/2006
Last updated
07/08/2007
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