Weiss, Glen H

Weiss, Glen H is an individual health care provider with primary practice located at 171 Ramapo Rd , Garnerville NY 10923-1552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Weiss, Glen H can be contacted via phone (845) 947-2240.

Contact Information

Primary practice address
171 Ramapo Rd Garnerville NY 10923-1552
Phone: (845) 947-2240
Fax: (845) 947-2265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA07816400 New Jersey
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 192800 New York

Profile Details

NPI number 1871575217
LBN Legal business name Weiss, Glen H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Oct 21st, 2020 - about 5 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 1871575217 NPPES
New York MEDICAID 01669149

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