MEDICARE: DR. ANDREW J WEILAND MD

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	207XS0106X	Orthopaedic Hand Surgery Physician	181147	NY
2	207XP3100X	Pediatric Orthopaedic Surgery Physician	181147	NY
3	207X00000X	Orthopaedic Surgery Physician	181147	NY
4	207XX0801X	Orthopaedic Trauma Physician	181147	NY

General Provider Information

NPI Number	:	1669454625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW J WEILAND MD

Provider Business Mailing Address
First Line	:	535 E 70TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-4872
Country	:	US
Telephone Number	:	212-606-1575
Fax Number	:	212-535-0426

Provider Business Practice Location Address
First Line	:	535 E 70TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-4872
Country	:	US
Telephone Number	:	212-606-1575
Fax Number	:	212-535-0426

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	02/15/2008

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