Individual
YAACOV WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
705B CROSS ST. SUITE 266, LAKEWOOD, NJ 08701-2984
(732) 552-5087
Mailing address
101 N CREST PL, LAKEWOOD, NJ 08701-2984
(732) 905-8804
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
101192
NY
Other
Enumeration date
09/13/2017
Last updated
03/23/2026
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