IndividualActive
Robert Weiss, MD
NPI 1417949702 · Pediatric Nephrology Physician · Hawthorne, NY
Provider details
- NPI number
- 1417949702
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 112832 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
19 Bradhurst Ave
Ste. 1400
Hawthorne, NY 10532-2140
Phone: (914) 493-7583
Fax: (914) 594-4011
Approximate (ZIP-level) locationGet directions
Mailing address
157 Brush Hollow Cres
Rye Brook, NY 10573-1623
Registry dates
- Enumerated
- 2005-08-22
- Last updated
- 2021-07-07
- Certified
- 2021-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.