Individual
DR. JOHN JOSEPH WEBER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
70 GLEN ST, SUITE 380, GLEN COVE, NY 11542-2855
(516) 759-2424
(516) 759-6627
Mailing address
1684 WEBSTER AVE, MERRICK, NY 11566-2667
(516) 379-8935
(516) 379-0132
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NYS 4438
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01082526
—
NY
01
—
17898
GROUP HEALTH INC.
NY
01
—
P45911
BLUE CROSS/BLUE SHIELD
NY
01
—
P45912
BLUE CROSS/BLUE SHIELD
NY
01
—
P45913
BLUE CROSS/BLUE SHIELD
NY
Enumeration date
09/23/2006
Last updated
09/15/2009
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