| Doctor Name: | ALAN JAY WEISSMAN |
| NPI Number: | 1144575838 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPS |
| License Number: | 03685 |
| Business Practice Address: | 42 Beacon Hill Drive Apt. 8ab3 Dobbs Ferry, NY - 105222463 |
| Business Phone Number: | 9144380198 |
| Business Fax Number: | |
| Mailing Address: | 42 Beacon Hill Drive, Apt. 8ab3 DOBBS FERRY |
| State: | NY |
| Postal Code: | 105222463 |
| Phone Number: | 9144380198 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2012 |
| NPI Last Update Date: | 07/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 03685 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |