Individual
WEIDAN DANA ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
56 W 45TH ST FL 8, NEW YORK, NY 10036-4215
(212) 427-8761
Mailing address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R-10995
IA
207RG0100X
Gastroenterology Physician
Primary
322662
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2017
Last updated
08/21/2024
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