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NPI Code Detail

MEDICARE: DANIEL RISSMAN WEINBERG

MEDICARE:   DANIEL RISSMAN WEINBERG
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
1207R00000XInternal Medicine Physician335281NY

General Provider Information

NPI Number : 1508492323
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL RISSMAN WEINBERG
Provider Business Mailing Address
First Line : 601 ELMWOOD AVE ATTN: ANNE GROTH
Second Line :
City : ROCHESTER
State : NY
Zip : 14652-0001
Country : US
Telephone Number : 585-275-4711
Fax Number :
Provider Business Practice Location Address
First Line : 601 ELMWOOD AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14642-0001
Country : US
Telephone Number : 585-275-4711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2020
Last Update Date : 04/30/2025

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Directions to “ DANIEL RISSMAN WEINBERG ” Practice Location

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