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Individual

DR. MARC WEBER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 W BROADWAY, SUITE 7, HEWLETT, NY 11557-1913
(516) 374-5024
(516) 374-5816
Mailing address
1200 W BROADWAY, SUITE 7, HEWLETT, NY 11557-1913
(516) 374-5024
(516) 374-5816

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
201723
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01786263
NY
Enumeration date
11/09/2005
Last updated
07/08/2007
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