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NPI Code Detail

MEDICARE: MR. STEVEN SCOTT WEISS RD RN ANP-C

MEDICARE:  MR. STEVEN SCOTT WEISS  RD RN ANP-C
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
1133V00000XRegistered Dietitian006546NY
2363LA2200XAdult Health Nurse Practitioner307896NY

General Provider Information

NPI Number : 1215176094
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEVEN SCOTT WEISS RD RN ANP-C
Provider Business Mailing Address
First Line : 3144 3RD AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-4629
Country : US
Telephone Number : 212-271-7200
Fax Number :
Provider Business Practice Location Address
First Line : 3144 3RD AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-4629
Country : US
Telephone Number : 212-271-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2009
Last Update Date : 03/28/2025

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