Individual
JONATHAN WEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
570 1ST AVE, NEW YORK, NY 10016-6512
(301) 802-4682
Mailing address
570 1ST AVE, NEW YORK, NY 10016-6512
(301) 802-4682
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
310739
NY
207P00000X
Emergency Medicine Physician
64901
CT
Other
Enumeration date
03/29/2017
Last updated
08/18/2021
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