Provider Demographics
NPI:1285660043
Name:WEITZ, ZE'EV W (MD)
Entity Type:Individual
Prefix:DR
First Name:ZE'EV
Middle Name:W
Last Name:WEITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 GATES RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-2288
Mailing Address - Country:US
Mailing Address - Phone:607-584-7387
Mailing Address - Fax:607-772-1223
Practice Address - Street 1:5083 WESTERN TURNPIKE
Practice Address - Street 2:
Practice Address - City:DUANESBURG
Practice Address - State:NY
Practice Address - Zip Code:12056
Practice Address - Country:US
Practice Address - Phone:518-895-8200
Practice Address - Fax:518-895-8269
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY188737207RR0500X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01398943Medicaid
NYAA0623Medicare PIN
NY85Y511Medicare ID - Type Unspecified
NY01398943Medicaid