Weiss, Walter

Weiss, Walter is an sole proprietor health care provider with primary practice located at 259 1St St , Mineola NY 11501-3957. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Weiss, Walter can be contacted via phone (516) 663-0333.

Contact Information

Primary practice address
259 1St St Mineola NY 11501-3957
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 171377-1 New York
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 171377 New York

Profile Details

NPI number 1174596332
LBN Legal business name Weiss, Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Jul 21st, 2022 - about 2 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 1174596332 NPPES
New York MEDICAID 01214355

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