Organization
LONG BEACH EKG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE B WEITZMAN MD (MEDICAL DIRECTOR)
(516) 432-2004
Entity
Organization
Contact information
Practice address
455 E BAY DR, LBMH, LONG BEACH, NY 11561-2301
(516) 354-0071
(516) 354-0415
Mailing address
1575 HILLSIDE AVE, CO MDB INC STE LL3, NEW HYDE PARK, NY 11040-2501
(516) 354-0071
(516) 354-0415
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
128040
NY
207RC0000X
Cardiovascular Disease Physician
Primary
139593
NY
207RC0000X
Cardiovascular Disease Physician
176667
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00237494
—
NY
05
—
00767813
—
NY
05
—
01482993
—
NY
01
—
1154355766
MD CHESNER, MD (NPI)
NY
01
—
1700854270
JP SCHAFFER, MD (NPI)
NY
01
—
1821058124
LB WEITZMAN, MD (NPI)
NY
Enumeration date
03/05/2007
Last updated
08/22/2020
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