Individual
DR. ROBERT A WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, STE. 1400, HAWTHORNE, NY 10532-2140
(914) 493-7583
(914) 594-4011
Mailing address
157 BRUSH HOLLOW CRES, RYE BROOK, NY 10573-1623
(914) 772-5455
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
112832
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00305642
—
NY
Enumeration date
08/22/2005
Last updated
07/07/2021
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