Organization
GEOFFREY WEISMAN, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFERY WEISMAN M.D. (PRESIDENT)
(631) 585-1527
Entity
Organization
Contact information
Practice address
233 UNION AVE, SUITE 103, HOLBROOK, NY 11741-1820
(631) 585-1527
Mailing address
233 UNION AVE, SUITE 103, HOLBROOK, NY 11741-1820
(631) 585-1527
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
138665
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00694133
—
NY
Enumeration date
09/29/2007
Last updated
09/29/2007
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