Individual
DR. AUDREY MICHELLE WEISSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5910 JUNCTION BLVD, ELMHURST, NY 11373-5156
(718) 592-3200
(718) 592-3844
Mailing address
5910 JUNCTION BLVD, ELMHURST, NY 11373-5156
(718) 592-3200
(718) 592-3844
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
169881
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01272559
—
NY
Enumeration date
09/22/2005
Last updated
02/14/2014
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