Provider Demographics
NPI:1336686997
Name:WEISZ, DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:WEISZ
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 1:1725 YORK AVE
Mailing Address - Street 2:APT. 30F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-7807
Mailing Address - Country:US
Mailing Address - Phone:646-334-3474
Mailing Address - Fax:
Practice Address - Street 1:1725 YORK AVE
Practice Address - Street 2:APT. 30F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-7807
Practice Address - Country:US
Practice Address - Phone:646-334-3474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-20
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY124730208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)