Weitz, Alan Marshall

Weitz, Alan Marshall is an individual health care provider with primary practice located at 610 W 158Th St , New York NY 10032-7104. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Weitz, Alan Marshall can be contacted via phone (212) 939-6000.

Contact Information

Primary practice address
610 W 158Th St New York NY 10032-7104
Fax: (212) 939-6002
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X NOO3620-1 New York

Profile Details

NPI number 1124093729
LBN Legal business name Weitz, Alan Marshall
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 8th, 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 1124093729 NPPES
New York MEDICAID 00820388

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