Individual
MR. BRADLEY WEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5881
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019147
NY
Other
Enumeration date
10/08/2015
Last updated
12/27/2018
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