MEDICARE: DR. HAROLD H. WEISS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	135451	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841214939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAROLD H. WEISS M.D.

Provider Business Mailing Address
First Line	:	1195 EAST 10TH STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4705
Country	:	US
Telephone Number	:	718-692-2900
Fax Number	:	718-692-2926

Provider Business Practice Location Address
First Line	:	1195 EAST 10TH STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4705
Country	:	US
Telephone Number	:	718-692-2900
Fax Number	:	718-692-2926

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	12/22/2021

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