Provider Demographics
NPI:1780014860
Name:WEISSBERGER, ARIEL (MA, MTBC, LCAT)
Entity Type:Individual
Prefix:MR
First Name:ARIEL
Middle Name:
Last Name:WEISSBERGER
Suffix:
Gender:M
Credentials:MA, MTBC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 HOPE ST
Mailing Address - Street 2:APT 504
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-4453
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:55 HOPE ST
Practice Address - Street 2:APT 504
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-4453
Practice Address - Country:US
Practice Address - Phone:617-817-8219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001615-1225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist