Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 181147 | NY |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 181147 | NY |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 181147 | NY |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 181147 | NY |
NPI | 1669454625 |
---|---|
Provider Name | Dr. Andrew J Weiland |
First Address | New York, NY 10021-4872 |
Second Address | New York, NY 10021-4872 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2005 |
Last Update Date | 15/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D75332 | (02) | NY |