MEDICARE: WILLIAM J WEISSINGER DPM PC

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
1	213E00000X	Podiatrist	N002886	NY

General Provider Information

NPI Number	:	1801925961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM J WEISSINGER DPM PC

Provider Business Mailing Address
First Line	:	488 NEW YORK AVE
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-3542
Country	:	US
Telephone Number	:	631-271-8500
Fax Number	:	631-271-8555

Provider Business Practice Location Address
First Line	:	488 NEW YORK AVE
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-3542
Country	:	US
Telephone Number	:	631-271-8500
Fax Number	:	631-271-8555

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. JACKIE VELEZ
Credential	:
Telephone Number	:	631-271-8500

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	07/09/2008

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