Individual
REGINALD WEISSGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9002 QUEENS BLVD, ELMHURST, NY 11373-4941
(718) 558-1870
(718) 558-1202
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
218146
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02213647
—
NY
01
—
1907T1
EMPIRE BCBS
NY
01
—
1907T2
EMPIRE BCBS
NY
Enumeration date
06/16/2006
Last updated
09/09/2008
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