Provider Demographics
NPI:1780726943
Name:WEISS, WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:WEISS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:350 CENTRAL PARK WEST
Mailing Address - Street 2:SUITE 1AD
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6504
Mailing Address - Country:US
Mailing Address - Phone:212-289-1847
Mailing Address - Fax:212-289-9507
Practice Address - Street 1:350 CENTRAL PARK WEST
Practice Address - Street 2:SUIRE 1AD
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6504
Practice Address - Country:US
Practice Address - Phone:212-289-1847
Practice Address - Fax:212-289-9507
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1222072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00629369Medicaid
NY48A321Medicare ID - Type Unspecified
NY00629369Medicaid