Provider Demographics
NPI:1952482697
Name:WEISS&CHASSEN DDS, PC
Entity Type:Organization
Organization Name:WEISS&CHASSEN DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:TURSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-229-6600
Mailing Address - Street 1:3443 213TH ST
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-1554
Mailing Address - Country:US
Mailing Address - Phone:718-229-6600
Mailing Address - Fax:718-224-4955
Practice Address - Street 1:3443 213TH ST
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-1554
Practice Address - Country:US
Practice Address - Phone:718-229-6600
Practice Address - Fax:718-224-4955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty