Provider Demographics
NPI:1730417379
Name:WEISZ, DONALD (PHD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:
Last Name:WEISZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1 GUSTAVE L LEVY PL
Mailing Address - Street 2:BOX 1136
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6574
Mailing Address - Country:US
Mailing Address - Phone:212-241-4220
Mailing Address - Fax:212-241-0697
Practice Address - Street 1:1 GUSTAVE L LEVY PL # 1136
Practice Address - Street 2:ANNENBERG 8TH FL, NEUROSURGERY OR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6574
Practice Address - Country:US
Practice Address - Phone:212-241-4220
Practice Address - Fax:212-241-0697
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY183322103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist