Jonathan M Weiss in Newburgh - General Practice

Jonathan M Weiss - NPI 1104010487

Jonathan M Weiss is a General Practice in Newburgh, New York. Jonathan M Weiss practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jonathan M Weiss is 1104010487. The last update date is 2007-10-24.

Jonathan M Weiss's current location address is 136 Lake St, Newburgh, New York. You can contact this provider via phone number 8455651677 and fax number 8455655377. The mailing address for Jonathan M Weiss is 136 Lake St, Newburgh, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan M Weiss
Address 136 Lake St, Newburgh, New York
Phone Number 8455651677
Fax Number 8455655377
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1104010487
Provider Enumeration Date 2007-08-30
Last Updated Date 2007-10-24

Provider Mailing Address Detail

Address 136 Lake St
City Newburgh
State New York (NY)
Post Code 125505245
Phone Number 8455651677
Fax Number 8455655377

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 10131-1
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
31081 NY NY LICENSE

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FAQs about Jonathan M Weiss

What is the unique identifier code issued to Jonathan M Weiss by the Centers for Medicare & Medicaid Services (CMS)?

The Jonathan M Weiss has been assigned the NPI (National Provider Identifier) 1104010487. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Jonathan M Weiss's facilities are geographically located?

The facilities of Jonathan M Weiss are physically situated at the following location: 136 Lake St, Newburgh, NY, 125505245.

What is the area of specialization for Jonathan M Weiss, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jonathan M Weiss is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

When did the Jonathan M Weiss receive its 1104010487?

The Jonathan M Weiss was issued its 1104010487 on 2007-08-30, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Jonathan M Weiss most recently updated or revised?

The details related to Jonathan M Weiss, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-24.

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