Organization
WEIN DIAGNOSTIC MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOTT WEIN M.D. (OWNER)
(718) 267-8196
Entity
Organization
Contact information
Practice address
2781 3RD AVE, BRONX, NY 10455-4002
(718) 267-8196
Mailing address
2106 23RD ST, ASTORIA, NY 11105-3625
(718) 267-8196
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
140221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00870842
—
NY
01
—
1477578177
INDIVIDUAL NPI
NY
Enumeration date
08/06/2006
Last updated
08/22/2020
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