Provider Demographics
NPI:1467453001
Name:WEISS, DAVID S (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:WEISS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:161 MADISON AVE RM 10NW
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5441
Mailing Address - Country:US
Mailing Address - Phone:212-889-8228
Mailing Address - Fax:844-287-3555
Practice Address - Street 1:161 MADISON AVE RM 10NW
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5441
Practice Address - Country:US
Practice Address - Phone:212-889-8228
Practice Address - Fax:844-287-3555
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-04
Last Update Date:2022-05-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY151349207XX0005X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A60131Medicare UPIN