Individual
CRAIG MICHAEL WEITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11203 QUEENS BLVD STE 202, FOREST HILLS, NY 11375-5550
(718) 275-5700
Mailing address
11203 QUEENS BLVD STE 202, FOREST HILLS, NY 11375-5550
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
057264
NY
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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