Individual
DAN WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-3330
Mailing address
1000 10TH AVE, NEW YORK, NY 10019-1147
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
166149
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01601069
—
NY
Enumeration date
11/20/2006
Last updated
08/16/2016
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