Individual
BRIAN WEISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
1700 3RD AVE, NEW YORK, NY 10128-2627
(212) 427-2798
Mailing address
1700 3RD AVE, NEW YORK, NY 10128-2627
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021701-1
NY
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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