Individual
DR. JONATHAN WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2920 BROADWAY FL 8, NEW YORK, NY 10027-7164
(347) 504-1067
Mailing address
2920 BROADWAY FL 8, NEW YORK, NY 10027-7164
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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