Individual
ELIE WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
581 CHESTNUT ST, CEDARHURST, NY 11516-2223
(516) 960-1819
Mailing address
581 CHESTNUT ST, CEDARHURST, NY 11516-2223
(516) 960-1819
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
059984
NY
Other
Enumeration date
04/05/2017
Last updated
09/15/2025
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