MEDICARE: ALLEN WEISS PHYSICIAN NY, P.L.L.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	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1760285050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEN WEISS PHYSICIAN NY, P.L.L.C.

Provider Business Mailing Address
First Line	:	2736 OCEAN AVE STE 1A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4705
Country	:	US
Telephone Number	:	347-978-0122
Fax Number	:

Provider Business Practice Location Address
First Line	:	2736 OCEAN AVE STE 1A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4705
Country	:	US
Telephone Number	:	347-978-0122
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALLEN J WEISS
Credential	:	DO
Telephone Number	:	347-978-0122

Provider Enumeration Date	:	03/31/2025
Last Update Date	:	04/08/2026

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