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General NPI Number Information
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NPI Number | 1962041848
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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 | 12/25/2019
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Last Update Date | 12/25/2019
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Provider Practice Location Address
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Address Line | 535 BROADHOLLOW RD STE A24
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City | MELVILLE
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State | NY
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Zip | 11747-3725
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Country | US
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Telephone | 631-393-6700
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Fax | 631-414-7442
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Provider Business Mailing Address
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Address Line | 535 BROADHOLLOW RD STE A24
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City | MELVILLE
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State | NY
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Zip | 11747-3725
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Country | US
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Telephone | 631-393-6700
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Fax | 631-414-7442
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID JAY 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 | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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