Provider Demographics
NPI:1750547766
Name:WEISFELD, CARLA ISABEL (DDS)
Entity type:Individual
Prefix:DR
First Name:CARLA
Middle Name:ISABEL
Last Name:WEISFELD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 BRONX ST
Mailing Address - Street 2:
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-3302
Mailing Address - Country:US
Mailing Address - Phone:646-546-7036
Mailing Address - Fax:
Practice Address - Street 1:110 WILLETT AVE
Practice Address - Street 2:
Practice Address - City:PORT CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10573-4282
Practice Address - Country:US
Practice Address - Phone:914-937-3733
Practice Address - Fax:914-937-3733
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053951-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice