Individual
IDA J WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N WASHINGTON ST, HERKIMER, NY 13350-1216
(315) 867-1664
(315) 867-1431
Mailing address
301 N WASHINGTON ST, HERKIMER, NY 13350-1216
(315) 867-1664
(315) 867-1431
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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