Individual
JONATHAN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31 W 9TH ST, GARDEN LVL STE 1, NEW YORK, NY 10011-9206
(646) 285-2436
Mailing address
31 W 9TH ST, GARDEN LVL STE 1, NEW YORK, NY 10011-9206
(646) 285-2436
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
254949
NY
2084P0800X
Psychiatry Physician
Primary
254949
NY
2084P0804X
Child & Adolescent Psychiatry Physician
254949
NY
Other
Enumeration date
09/29/2009
Last updated
08/26/2015
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