Individual
ALLIE WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5005 31ST AVE, WOODSIDE, NY 11377-1333
(516) 840-0179
Mailing address
45 IRVING DR, WOODBURY, NY 11797-1307
(516) 840-0179
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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