Individual
MR. JOHN WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
317 E 17TH ST, KRUEGER CLINIC, NEW YORK, NY 10003-3804
(212) 420-2805
(212) 420-3804
Mailing address
317 E 17TH ST, KRUEGER CLINIC, NEW YORK, NY 10003-3804
(212) 420-2805
(212) 420-3804
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000511
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02840339
—
NY
Enumeration date
05/01/2007
Last updated
07/08/2007
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