Provider Demographics
NPI:1750384285
Name:WEISSINGER, WILLIAM JOSEPH (DPM)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:WEISSINGER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:488 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-3542
Mailing Address - Country:US
Mailing Address - Phone:631-271-8500
Mailing Address - Fax:631-271-8555
Practice Address - Street 1:488 NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3542
Practice Address - Country:US
Practice Address - Phone:631-271-8500
Practice Address - Fax:631-271-8555
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-30
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002886213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY325928POtherHIP HEALTHPLANS
NY8360602003OtherCIGNA HEALTHPLANS
NYWW0PH51810OtherBLUECROSS BLUESHIELD
NYCS003OtherOXFORD
NY4505083OtherAETNA
NY4C5393OtherHEALTHNET
NY11323OtherVYTRA
NY3219610OtherAETNA HMO
NY1499585OtherGHI
NY00415389Medicaid
NYCS003OtherOXFORD
NYP32121Medicare ID - Type Unspecified