Individual
DR. STACEY WEISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GUSTAVE L. LEVY PLACE, BOX 1194, NEW YORK, NY 10029-6574
(212) 241-8395
(212) 289-0092
Mailing address
1 GUSTAVE L. LEVY PLACE, BOX 1194, NEW YORK, NY 10029-6574
(212) 241-8395
(212) 289-0092
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2085R0202X
Diagnostic Radiology Physician
253942
MA
2085R0202X
Diagnostic Radiology Physician
Primary
260663
NY
Other
Enumeration date
06/26/2008
Last updated
01/19/2018
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