EDWARD THOMAS WEICK

MINEOLA, NY
NPI1114193976
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  008816)
Enumeration Date2008-05-01
Last Update Date2013-02-04
Business Address
-- EDWARD THOMAS WEICK RPAC
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-8312
Mailing Address
-- EDWARD THOMAS WEICK RPAC
700 HICKSVILLE RD
BETHPAGE, NY 11714-3471
Phone number: 516-576-6106
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