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Individual

DR. MITCHELL I. WEILER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
86 CARMAN AVE, CEDARHURST, NY 11516-1905
(516) 569-0500
(516) 569-0570
Mailing address
86 CARMAN AVE, CEDARHURST, NY 11516-1905
(516) 569-0500
(516) 569-0570

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
148634
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00890588
NY
Enumeration date
07/11/2005
Last updated
03/20/2012
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