Weissman, Evan
Weissman, Evan is an individual health care provider with primary practice located at 4 Medical Park Dr 4C, Pomona NY 10970-3516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Weissman, Evan can be contacted via phone (845) 362-0202.Contact Information
Primary practice address
4 Medical Park Dr 4C
Pomona NY 10970-3516
Phone: (845) 362-0202
Fax: (845) 362-1347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | BW6237653 | New York |
Profile Details
| NPI number | 1033209804 |
|---|---|
| LBN Legal business name | Weissman, Evan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Apr 8th, 2011 - about 13 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 | 1033209804 | NPPES |
| New York | MEDICAID | 2089054 |
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