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Individual

DR. ELLIOTT WEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2781 3RD AVE, BRONX, NY 10455-4002
(718) 402-0300
(718) 742-1643
Mailing address
2781 3RD AVE, BRONX, NY 10455-4002
(718) 402-0300
(718) 742-1643

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
140221
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00870842
NY
Enumeration date
07/13/2006
Last updated
01/24/2017
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