Individual
ANTHONY A WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 COLUMBUS AVE, 2ND FLOOR, NEW YORK, NY 10024-1458
(212) 721-2600
(212) 721-6230
Mailing address
620 COLUMBUS AVE, 2ND FLOOR, NEW YORK, NY 10024-1458
(212) 721-2600
(212) 721-6230
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
178909
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01601183
—
NY
01
—
112990594
GROUP TAX ID
NY
Enumeration date
06/30/2006
Last updated
05/27/2010
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