Individual
EVERETT SANDOR WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 HAGEN DR STE 220, ROCHESTER, NY 14625-2658
(585) 295-5476
(585) 248-5106
Mailing address
30 HAGEN DR STE 220, ROCHESTER, NY 14625-2658
(585) 295-5476
(585) 248-5106
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
NOT YET LICENSED
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023187085
GROUP NPI NUMBER
NY
Enumeration date
07/10/2008
Last updated
08/02/2010
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