Weissman, Audrey Michelle

Weissman, Audrey Michelle is an sole proprietor health care provider with primary practice located at 5910 Junction Blvd , Elmhurst NY 11373-5156. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Weissman, Audrey Michelle can be contacted via phone (718) 592-3200.

Contact Information

Primary practice address
5910 Junction Blvd Elmhurst NY 11373-5156
Fax: (718) 592-3844
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 169881 New York

Profile Details

NPI number 1780670919
LBN Legal business name Weissman, Audrey Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2005
Last updated Feb 14th, 2014 - about 10 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 1780670919 NPPES
New York MEDICAID 01272559

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