Individual
MR. ROGER ALLEN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X0042581
NY
111NI0013X
Independent Medical Examiner Chiropractor
Primary
NYSIMEC042582B
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C042582B
NYS IME NUMBER
NY
01
—
X0042581
LIC NUMBER NY
NY
Enumeration date
02/22/2008
Last updated
02/22/2008
Update your record
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