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NPI Code Detail

MEDICARE: DANIELLE WEISS

MEDICARE: DANIELLE WEISS
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
12085R0202XDiagnostic Radiology Physician330709NY
22085P0229XPediatric Radiology Physician330709NY

General Provider Information

NPI Number : 1548953490
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE WEISS
Provider Business Mailing Address
First Line : 111 E 210TH ST
Second Line :
City : BRONX
State : NY
Zip : 10467-2401
Country : US
Telephone Number : 718-920-4321
Fax Number :
Provider Business Practice Location Address
First Line : 111 E 210TH ST
Second Line :
City : BRONX
State : NY
Zip : 10467-2401
Country : US
Telephone Number : 718-920-4321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2023
Last Update Date : 03/17/2026

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Directions to “ DANIELLE WEISS ” Practice Location

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