Provider Demographics
NPI:1548205677
Name:WEISFUSE, ISAAC B (MD)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:B
Last Name:WEISFUSE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:125 WORTH ST
Mailing Address - Street 2:ROOM 901 BOX 74 NYCDOHMH DIVISION OF DISEASE CONTROL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4006
Mailing Address - Country:US
Mailing Address - Phone:212-442-8468
Mailing Address - Fax:212-442-8452
Practice Address - Street 1:455 1ST AVE
Practice Address - Street 2:NYCDDH BUREAU OF LABORATORIES
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9102
Practice Address - Country:US
Practice Address - Phone:212-442-8468
Practice Address - Fax:212-442-8452
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY1724261207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine