Individual
DR. BENJAMIN Z. WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD.
Contact information
Practice address
360 CENTRAL AVENUE-SUITE 110, SUITE 110, LAWRENCE, NY 11559
(516) 569-4982
Mailing address
360 CENTRAL AVENUE-SUITE 110, SUITE 110, LAWRENCE, NY 11559
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9947-1
NY
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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