Individual
DR. ROBERT WILLIAM WEISENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5770 COMMONS PARK, EAST SYRACUSE, NY 13057-9400
(315) 445-1577
(315) 445-4862
Mailing address
PO BOX 48, SYRACUSE, NY 13214-0048
(315) 445-1577
(315) 445-4862
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1740541
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01076719
—
NY
Enumeration date
09/27/2006
Last updated
09/10/2007
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