Provider Demographics
NPI:1528215068
Name:DANIEL W. WILEN, ORTHOPAEDIC SURGERY,M.D., P.C.
Entity Type:Organization
Organization Name:DANIEL W. WILEN, ORTHOPAEDIC SURGERY,M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:WILEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-238-6518
Mailing Address - Street 1:9202 FORT HAMILTON PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7407
Mailing Address - Country:US
Mailing Address - Phone:718-238-6518
Mailing Address - Fax:718-836-1460
Practice Address - Street 1:9202 FORT HAMILTON PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-7407
Practice Address - Country:US
Practice Address - Phone:718-238-6518
Practice Address - Fax:718-836-1460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-27
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY184405207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Single Specialty