Weiss, Jonathan M
Weiss, Jonathan M is an sole proprietor health care provider with primary practice located at 136 Lake St Suite 11, Newburgh NY 12550-5245. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Weiss, Jonathan M can be contacted via phone (845) 565-1677.Contact Information
Primary practice address
136 Lake St Suite 11
Newburgh NY 12550-5245
Phone: (845) 565-1677
Fax: (845) 565-5377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 10131-1 | New York |
Profile Details
| NPI number | 1104010487 |
|---|---|
| LBN Legal business name | Weiss, Jonathan M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2007 |
| Last updated | Oct 24th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104010487 | NPPES |
| New York | Other | 031081 | NY LICENSE |
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