Individual
GAIL SUSAN WEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, LCSW
Contact information
Practice address
39 N GOODMAN ST, ROCHESTER, NY 14607-1578
(585) 271-2937
(585) 271-3575
Mailing address
160 SHEPARD ST, ROCHESTER, NY 14620-1818
(585) 739-2276
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
069338
NY
363AM0700X
Medical Physician Assistant
Primary
002458-1
NY
363AM0700X
Medical Physician Assistant
MA-000169-L
PA
Other
Enumeration date
02/02/2007
Last updated
06/10/2021
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