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Individual

MRS. BETH LYNN WEISSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SP ED TEACHER

Contact information

Practice address
678 CANTIAGUE ROCK RD, JERICHO, NY 11753-1401
(516) 203-3650
Mailing address
27 LORETTA DR, SYOSSET, NY 11791-5818

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NY

Other

Enumeration date
11/23/2011
Last updated
11/23/2011
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