Provider Demographics
NPI:1467711317
Name:MEN, WEIHSIN VICTOR (DMD)
Entity Type:Individual
Prefix:DR
First Name:WEIHSIN
Middle Name:VICTOR
Last Name:MEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 E BROADWAY
Mailing Address - Street 2:SUITE 701/702
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-6994
Mailing Address - Country:US
Mailing Address - Phone:212-766-1901
Mailing Address - Fax:212-766-1902
Practice Address - Street 1:17 E BROADWAY
Practice Address - Street 2:SUITE 701/702
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-6994
Practice Address - Country:US
Practice Address - Phone:212-766-1901
Practice Address - Fax:212-766-1902
Is Sole Proprietor?:No
Enumeration Date:2012-05-13
Last Update Date:2012-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048136122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist