Individual
BRUCE JORDAN WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5 CENTER ST, IRVINGTON, NY 10533-1308
(718) 744-8515
Mailing address
5 CENTER ST, IRVINGTON, NY 10533-1308
(718) 744-8515
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2078-PY-PR
MA
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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