Provider Demographics
NPI:1891053625
Name:WESSLER, JEFFREY D (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:D
Last Name:WESSLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 W 168TH ST # 4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3725
Mailing Address - Country:US
Mailing Address - Phone:212-342-0619
Mailing Address - Fax:212-305-6307
Practice Address - Street 1:630 W 168TH ST
Practice Address - Street 2:PH 8 EAST ROOM 105
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3725
Practice Address - Country:US
Practice Address - Phone:212-342-0619
Practice Address - Fax:212-305-6307
Is Sole Proprietor?:No
Enumeration Date:2012-04-30
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY279439207R00000X, 207RC0000X
IAMD48738207RC0000X
CAA175435207RC0000X
CT64524207RC0000X
DCMD048667207RC0000X
FLME147260207RC0000X
SC88723207RC0000X
NC2020-02225207RC0000X
COCDR.0001228207RC0000X
ALMD.40686207RC0000X
AZ63570207RC0000X
GA88341207RC0000X
ARE-14835207RC0000X
TXT7770207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine