Individual
DR. STEPHEN E WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 CHARLES ST, MINEOLA, NY 11501-1901
(516) 746-3204
Mailing address
51 CHARLES ST, MINEOLA, NY 11501-1901
(516) 746-3204
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
029764
NY
Other
Enumeration date
06/14/2007
Last updated
03/03/2008
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