Weaver, Diana E.

Weaver, Diana E. is an individual health care provider with primary practice located at 450 Clarkson Ave Suite B4-333, Brooklyn NY 11203-2056. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as her primary health care specialty. Weaver, Diana E. can be contacted via phone (718) 270-4714.

Contact Information

Primary practice address
450 Clarkson Ave Suite B4-333 Brooklyn NY 11203-2056
Phone: (718) 270-4714
Fax: (718) 270-1985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 202166-1 New York

Profile Details

NPI number 1003894668
LBN Legal business name Weaver, Diana E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Mar 30th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003894668 NPPES
New York MEDICAID 02069107

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