Individual
DR. CAROL ANN WEISSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5 SCHENCK AVE, GREAT NECK, NY 11021-3600
(516) 268-0681
Mailing address
5 SCHENCK AVE, GREAT NECK, NY 11021-3600
(516) 268-0681
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0092731
NY
103T00000X
Psychologist
Primary
PY5650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U0953
MEDICARE PTAN
FL
Enumeration date
02/01/2007
Last updated
12/15/2017
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