Individual
MATTHEW BRIAN WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
6915 AUSTIN ST, FOREST HILLS, NY 11375-4238
(718) 575-0300
Mailing address
13 PONY CIR, ROSLYN HEIGHTS, NY 11577-1980
(718) 575-0300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007748
NY
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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