Healthcare Provider Details

I. General information

NPI: 1669759296
Provider Name (Legal Business Name): SS MEDICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2011
Last Update Date: 11/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 E 72ND ST
NEW YORK NY
10021-4726
US

IV. Provider business mailing address

310 E 72ND ST
NEW YORK NY
10021-4726
US

V. Phone/Fax

Practice location:
  • Phone: 212-874-3384
  • Fax: 212-874-0031
Mailing address:
  • Phone: 212-874-3384
  • Fax: 212-874-0031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. GIL WEITZMAN
Title or Position: OWNER
Credential: MD
Phone: 212-874-3384