Bradley D Wiener
Sports Medicine Orthopaedic Surgeon
75 Crystal Run Rd Suite 206
Middletown
, New York 10941-7000
Bradley D Wiener
Sports Medicine Orthopaedic Surgeon
75 Crystal Run Rd Suite 206
Middletown
, New York 10941-7000
(845) 673-5320
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Bradley D Wiener
- 75 Crystal Run Rd Suite 206
- Middletown, NY
- Zip : 10941-7000
- Fax : (845) 673-5320
- Phone : (845) 673-1080
Second Address
- Bradley D Wiener
- 75 Crystal Run Rd Suite 206
- Middletown, NY
- Zip : 10941-7000
- Fax : (845) 673-5320
- Phone : (845) 673-1080
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 200402 | NY |
National Provider Identifier
| NPI | 1033110895 |
|---|---|
| Provider Name | Bradley D Wiener |
| First Address | Middletown, NY 10941-7000 |
| Second Address | Middletown, NY 10941-7000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2005 |
| Last Update Date | 06/08/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G45722 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.