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General NPI Number Information
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NPI Number | 1598010274
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Entity Type | Organization
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Legal Business Name | DAVID J WEISSBERG, MD, PC
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 12/25/2019
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Provider Practice Location Address
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Address Line | 400 MONTAUK HWY SUITE 108
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City | WEST ISLIP
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State | NY
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Zip | 11795-4429
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Country | US
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Telephone | 631-482-9192
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Fax |
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Provider Business Mailing Address
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Address Line | 379 OAKWOOD RD SUITE C
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-7203
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Country | US
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Telephone | 631-482-9192
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID J WEISSBERG
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Credential | MD
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Telephone | 631-351-0295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 146514
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License Number State | NY
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