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Contact Information

IRA M WEISSMAN, MD
336 ELM ST
MALONE, NY12953
 Phone: 518-483-0022
 Fax: 518-483-6179
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for IRA M WEISSMAN · (Male)

NPI Number 1245326198
Status Active
Credentials MD
Entity Individual
Enumeration date 10/05/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 175855
  • NY Medicaid 01082457
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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