Individual
DR. LYLE MITCHELL WEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
7 SCOTT LN, MANORVILLE, NY 11949-2623
(631) 325-2113
(631) 610-8954
Mailing address
7 SCOTT LN, MANORVILLE, NY 11949-2623
(631) 325-2113
(631) 610-8954
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9271
NY
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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