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Organization

SCOTT ADAM WEISS MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT WEISS MD (OWNER)
(917) 656-6386
Entity
Organization

Contact information

Practice address
672 HARLESS PL, WEST HEMPSTEAD, NY 11552-3504
(917) 656-6386
Mailing address
672 HARLESS PL, WEST HEMPSTEAD, NY 11552-3504

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
221406
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03069761
NY
Enumeration date
04/04/2018
Last updated
04/04/2018
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