MEDICARE: DANIEL W. WILEN, ORTHOPAEDIC SURGERY,M.D., P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	184405	NY

General Provider Information

NPI Number	:	1528215068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL W. WILEN, ORTHOPAEDIC SURGERY,M.D., P.C.

Provider Business Mailing Address
First Line	:	9202 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-7407
Country	:	US
Telephone Number	:	718-238-6518
Fax Number	:	718-836-1460

Provider Business Practice Location Address
First Line	:	9202 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-7407
Country	:	US
Telephone Number	:	718-238-6518
Fax Number	:	718-836-1460

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DANIEL W. WILEN
Credential	:	M.D..
Telephone Number	:	718-238-6518

Provider Enumeration Date	:	08/27/2008
Last Update Date	:	09/05/2008

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