Individual
JOHANNA WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
215 E 85TH ST, NEW YORK, NY 10028-3108
(646) 962-7300
(212) 746-7311
Mailing address
215 E 85TH ST, NEW YORK, NY 10028-3108
(646) 962-7300
(646) 962-0409
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
220953
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02443263
—
NY
Enumeration date
07/19/2006
Last updated
03/06/2024
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