Individual
MR. IRA SCOTT WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.A.S.A.C.
Contact information
Practice address
246 CENTRAL PARK AVENUE, HARTSDALE, NY 10530
(914) 949-6640
Mailing address
2989 N JERUSALEM RD, LEVITTOWN, NY 11756-3510
(516) 336-2643
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9763
NY
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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