Organization
CARROW STREET PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN D WEISS MD (MANAGING PARTNER)
(716) 662-3443
Entity
Organization
Contact information
Practice address
24 CARROW ST, ORCHARD PARK, NY 14127-2604
(716) 662-3443
(716) 662-3443
Mailing address
24 CARROW ST, ORCHARD PARK, NY 14127-2604
(716) 662-3443
(716) 662-3443
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
141284
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03045943
—
NY
Enumeration date
08/17/2007
Last updated
06/30/2009
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