Individual
JENNIFER WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
12 E 87TH ST APT 1A, NEW YORK, NY 10128-0501
(212) 996-6900
Mailing address
143 MORGAN ST APT 7B, JERSEY CITY, NJ 07302-5903
(203) 610-3135
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
018653
NY
Other
Enumeration date
07/23/2015
Last updated
11/02/2022
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