Weiss, Wayne Mark

Weiss, Wayne Mark is an individual health care provider with primary practice located at 384 Crystal Run Rd Suite 201, Middletown NY 10941-4013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Weiss, Wayne Mark can be contacted via phone (845) 692-8780.

Contact Information

Primary practice address
384 Crystal Run Rd Suite 201 Middletown NY 10941-4013
Phone: (845) 692-8780
Fax: (845) 692-3439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 170579 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 170579 New York

Profile Details

NPI number 1760456396
LBN Legal business name Weiss, Wayne Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Feb 1st, 2012 - about 12 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 1760456396 NPPES
New York MEDICAID 02010713

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