Provider Demographics
NPI:1992972285
Name:WEITZMAN & CHESSNER MDS LLP
Entity type:Organization
Organization Name:WEITZMAN & CHESSNER MDS LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:G
Authorized Official - Last Name:O'CONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-432-3505
Mailing Address - Street 1:325 W PARK AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-3223
Mailing Address - Country:US
Mailing Address - Phone:516-432-3505
Mailing Address - Fax:516-432-4154
Practice Address - Street 1:325 W PARK AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-3223
Practice Address - Country:US
Practice Address - Phone:516-432-3505
Practice Address - Fax:516-432-4154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1821058124OtherNPI
NY1154355766OtherNPI
NYF52744Medicare UPIN
NY1821058124OtherNPI
NY49H841Medicare PIN
NY85A091Medicare PIN