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Individual

DR. LEE WEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4 TECHNOLOGY DR, EAST SETAUKET, NY 11733-4080
(631) 444-4686
Mailing address
45 BOUNTY LN, JERICHO, NY 11753-2207

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
223062
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02577879
NY
Enumeration date
02/06/2007
Last updated
01/18/2013
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