Individual
STACEY F WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
115 1/2 REMSEN STREET, BROOKLYN, NY 11201-4212
(718) 852-4949
(718) 624-5972
Mailing address
115 1/2 REMSEN STREET, BROOKLYN, NY 11201-4212
(718) 852-4949
(718) 624-5972
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
222294
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02712976
—
NY
Enumeration date
10/11/2005
Last updated
03/05/2015
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