Provider Demographics
NPI:1780551341
Name:WEIR, MASON JAMES
Entity type:Individual
Prefix:
First Name:MASON
Middle Name:JAMES
Last Name:WEIR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 COUNTY HIGHWAY 11
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-3333
Mailing Address - Country:US
Mailing Address - Phone:607-287-8509
Mailing Address - Fax:
Practice Address - Street 1:806 COUNTY HIGHWAY 11
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-3333
Practice Address - Country:US
Practice Address - Phone:607-287-8509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant