Individual
MR. STEPHAN ALLEN WEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
7050 AUSTIN ST, SUITE 115 LOWER LEVEL, FOREST HILLS, NY 11375-4737
(718) 793-9629
Mailing address
7050 AUSTIN ST, SUITE 115 LOWER LEVEL, FOREST HILLS, NY 11375-4737
(718) 793-9629
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
14000007984
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00780130
—
NY
Enumeration date
09/17/2007
Last updated
09/17/2007
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