Healthcare Provider Details

I. General information

NPI: 1225590607
Provider Name (Legal Business Name): PATRICK WEILL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2019
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 E 70TH ST
NEW YORK NY
10021-4872
US

IV. Provider business mailing address

505 E 70TH ST
NEW YORK NY
10021-4872
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-3587
  • Fax: 212-746-8051
Mailing address:
  • Phone: 212-746-3587
  • Fax: 212-746-8051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberV8424
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: