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NPI Code Detail

MEDICARE: DR. GEOFFREY WEISMAN M.D., PLLC

MEDICARE:  DR. GEOFFREY  WEISMAN  M.D., PLLC
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
1207W00000XOphthalmology Physician138665NY

Other Identifiers

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

General Provider Information

NPI Number : 1225107634
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEOFFREY WEISMAN M.D., PLLC
Provider Business Mailing Address
First Line : 233 UNION AVE
Second Line : SUITE 103
City : HOLBROOK
State : NY
Zip : 11741-1820
Country : US
Telephone Number : 631-585-7771
Fax Number : 631-585-2720
Provider Business Practice Location Address
First Line : 233 UNION AVE
Second Line : SUITE 103
City : HOLBROOK
State : NY
Zip : 11741-1820
Country : US
Telephone Number : 631-585-7771
Fax Number : 631-585-2720
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 09/28/2007

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Directions to “ DR. GEOFFREY WEISMAN M.D., PLLC” Practice Location

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