Individual
MR. WAYNE MARK WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
384 CRYSTAL RUN RD, SUITE 201, MIDDLETOWN, NY 10941-4013
(845) 692-8780
(845) 692-3439
Mailing address
384 CRYSTAL RUN RD, SUITE 201, MIDDLETOWN, NY 10941-4013
(845) 692-8780
(845) 692-3439
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
170579
NY
2086S0102X
Surgical Critical Care Physician
Primary
170579
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02010713
—
NY
Enumeration date
02/13/2006
Last updated
02/01/2012
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