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Individual

MR. GERALD WEIR

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
1247 SUFFOLK AVE, BRENTWOOD, NY 11717-4518
(631) 434-7544
(516) 295-9105
Mailing address
67 BURTON AVE, WOODMERE, NY 11598-1749
(516) 295-2210
(516) 295-9105

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001178
NY

Other

Enumeration date
04/14/2006
Last updated
07/08/2007
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