# ELISE WEISS MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710129010
- **Authorized official:** DR. ELISE WEISS MD (OWNER)
- **Authorized official phone:** (212) 752-6770

## Contact information

- **Practice address:** 515 MADISON AVENE, SUITE 1906, NEW YORK, NY 10022
- **Practice address phone:** (212) 752-6770
- **Practice address fax:** (212) 754-0369
- **Mailing address:** 515 MADISON AVENE, SUITE 1906, NEW YORK, NY 10022
- **Mailing address phone:** (212) 752-6770
- **Mailing address fax:** (212) 754-0369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 236095 | NY | Yes |

## Other

- **Enumeration date:** 04/01/2009
- **Last updated:** 04/01/2009