Provider Demographics
NPI:1811471931
Name:WEISS, RHONA
Entity type:Individual
Prefix:
First Name:RHONA
Middle Name:
Last Name:WEISS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4555 HENRY HUDSON PKWY APT 907
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-3839
Mailing Address - Country:US
Mailing Address - Phone:191-784-7148
Mailing Address - Fax:
Practice Address - Street 1:4555 HENRY HUDSON PKWY APT 907
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-3839
Practice Address - Country:US
Practice Address - Phone:917-847-1481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist