Healthcare Provider Details

I. General information

NPI: 1710079801
Provider Name (Legal Business Name): WEI Y SHIEH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 01/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 CANAL ST 6 FL
NEW YORK NY
10013-4537
US

IV. Provider business mailing address

185 CANAL ST 6 FL
NEW YORK NY
10013-4537
US

V. Phone/Fax

Practice location:
  • Phone: 212-343-8818
  • Fax: 212-343-3828
Mailing address:
  • Phone: 212-343-8818
  • Fax: 212-343-3828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number140973
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: