Provider Demographics
NPI:1417117060
Name:WEISBERG, ILAN SETH (MD)
Entity Type:Individual
Prefix:DR
First Name:ILAN
Middle Name:SETH
Last Name:WEISBERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:150 E 42ND ST
Mailing Address - Street 2:FL 10
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5626
Mailing Address - Country:US
Mailing Address - Phone:212-844-8331
Mailing Address - Fax:212-420-4373
Practice Address - Street 1:10 UNION SQ E
Practice Address - Street 2:2G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3314
Practice Address - Country:US
Practice Address - Phone:212-844-8331
Practice Address - Fax:212-844-6697
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2023-09-18
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Provider Licenses
StateLicense IDTaxonomies
NY237817207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology