Individual
DR. STEPHEN WEITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36 ERLAND RD, STONY BROOK, NY 11790-1125
(631) 751-8104
Mailing address
36 ERLAND RD, STONY BROOK, NY 11790-1125
(631) 751-9104
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
107025
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00547264
—
NY
Enumeration date
08/01/2006
Last updated
07/08/2007
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