Individual
DR. MARY WEATHERS CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
462 FIRST AVE, ROOM A646, C/O LESLIE SHIMONO, PSYCH ADMIN, BELLEVUE HOSPITAL, NEW YORK, NY 10016
(646) 286-5011
Mailing address
462 FIRST AVE, ROOM A646, C/O LESLIE SHIMONO, PSYCH ADMIN, BELLEVUE HOSPITAL, NEW YORK, NY 10016
(646) 286-5011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
247071
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2007
Last updated
01/12/2015
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