Provider Demographics
NPI:1942362009
Name:WEISBERG, MICHAEL USHER (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:USHER
Last Name:WEISBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 HUNTSWOOD LN
Mailing Address - Street 2:
Mailing Address - City:EAST GREENBUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12061-2030
Mailing Address - Country:US
Mailing Address - Phone:518-477-5172
Mailing Address - Fax:518-477-5172
Practice Address - Street 1:71 PROSPECT AVENUE
Practice Address - Street 2:COLUMBIA MEMORIAL HOSPITAL
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534
Practice Address - Country:US
Practice Address - Phone:518-828-8500
Practice Address - Fax:518-828-8283
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY244244207P00000X
NJ25MA08197700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine