Weiss, Scott

Weiss, Scott is an sole proprietor health care provider with primary practice located at 1 Bay Club Dr Apt. Phx, Bayside NY 11360-2915. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Weiss, Scott can be contacted via phone (718) 597-3584.

Contact Information

Primary practice address
1 Bay Club Dr Apt. Phx Bayside NY 11360-2915
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 039629 New York

Profile Details

NPI number 1003026899
LBN Legal business name Weiss, Scott
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Jul 9th, 2007 - about 17 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 1003026899 NPPES
New York MEDICAID 01156321

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