Organization
HAROLD WEISSMAN MD PC
Active
Other names
Rego Park Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDREY M WEISSMAN MD (OWNER / PRESIDENT)
(718) 592-3200
Entity
Organization
Contact information
Practice address
5910 JUNCTION BLVD, ELMHURST, NY 11373-5156
(718) 592-3200
(718) 592-3844
Mailing address
5910 JUNCTION BLVD, ELMHURST, NY 11373-5156
(718) 592-3200
(718) 592-3844
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
169881
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00574167
—
NY
Enumeration date
06/04/2007
Last updated
02/06/2023
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