Provider Demographics
NPI:1073232450
Name:WELTMAN, JOEL GREEN (DVM)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:GREEN
Last Name:WELTMAN
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 E 62ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-8314
Mailing Address - Country:US
Mailing Address - Phone:212-838-8100
Mailing Address - Fax:
Practice Address - Street 1:510 E 62ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8314
Practice Address - Country:US
Practice Address - Phone:212-838-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011203174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist