Individual
ANITA HELENE WEITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 DARTMOUTH LN, WOODMERE, NY 11598-1011
(516) 967-0505
Mailing address
1015 DARTMOUTH LN, WOODMERE, NY 11598-1011
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
710813
NY
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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