Provider Demographics
NPI:1649248394
Name:WEI, ALEX Y (MD)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:Y
Last Name:WEI
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 1:343 E 30TH ST
Mailing Address - Street 2:P21
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6417
Mailing Address - Country:US
Mailing Address - Phone:212-904-0291
Mailing Address - Fax:212-566-4689
Practice Address - Street 1:882 56TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3616
Practice Address - Country:US
Practice Address - Phone:718-770-7964
Practice Address - Fax:718-717-8682
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2011-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY244812207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03213774Medicaid