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Individual

DR. DOUGLAS WESTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
334 VAN SICKLEN ST, BROOKLYN, NY 11223-3802
(718) 946-5380
Mailing address
2601 AVENUE R, BROOKLYN, NY 11229-2501
(718) 942-5353

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
208709
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01818148
NY
Enumeration date
10/20/2006
Last updated
07/08/2007
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