Individual
DR. JERIEL KESSEL WEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
110 E 55TH ST FL 14, NEW YORK, NY 10022-4585
(212) 283-0003
Mailing address
2701 QUEENS PLZ N FL 10, LONG ISLAND CITY, NY 11101-4022
(212) 283-3000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
310333
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/16/2017
Last updated
07/12/2021
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