Individual
ANDREW L WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 AVENUE P, BROOKLYN, NY 11229
(718) 376-1004
(718) 376-1150
Mailing address
9 JASON RD, GREEN BROOK, NJ 08812-2061
(908) 668-5212
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
223146
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02255205
—
NY
Enumeration date
07/13/2006
Last updated
07/08/2007
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