Individual
DR. MELVIN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, STE 700, HAWTHORNE, NY 10532-2140
(914) 593-7800
(914) 593-7881
Mailing address
19 BRADHURST AVE, SUITE 700, HAWTHORNE, NY 10532-2140
(914) 593-7880
(914) 593-7881
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
101971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00175686
—
NY
01
—
110080765
RAIL ROAD MEDICARE
NY
01
—
5816943K221
PTAN
NY
Enumeration date
05/24/2005
Last updated
09/16/2014
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