Provider Demographics
NPI:1477690444
Name:ZE'EV W. WEITZ, MD
Entity Type:Organization
Organization Name:ZE'EV W. WEITZ, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ZE'EV
Authorized Official - Middle Name:W
Authorized Official - Last Name:WEITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-827-7090
Mailing Address - Street 1:5 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13901-2322
Mailing Address - Country:US
Mailing Address - Phone:607-772-9462
Mailing Address - Fax:607-772-1223
Practice Address - Street 1:270 MAIN STREET
Practice Address - Street 2:
Practice Address - City:MIDDLEBURGH
Practice Address - State:NY
Practice Address - Zip Code:12122
Practice Address - Country:US
Practice Address - Phone:518-827-7090
Practice Address - Fax:518-827-7022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY188737207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF19514Medicare UPIN