Individual
ROBERT WEEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
39 BROADWAY, NEW YORK, NY 10006-3003
(212) 422-9229
Mailing address
102 ROSE AVE, STATEN ISLAND, NY 10306-2242
(917) 882-7862
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
037585-1
NY
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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