LEE B WEITZMAN, MD - NPI NUMBER 1821058124

Summary

Provider Name: LEE B WEITZMAN, MD

NPI Number: 1821058124

Clasification: Internal Medicine (207RC0000X)

Specialization: Cardiovascular Disease

Address:
325 W PARK AVE
LONG BEACH, NY
ZIP 11561

Phone Number: (516) 432-2004



Detailed Information

Lee B Weitzman, MD is a cardiovascular disease internist in Long Beach, NY with 36 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. The assigned NPI number for this provider is 1821058124 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year: 1978

The provider's business address is:

325 W PARK AVE
LONG BEACH, NY
ZIP 11561-223
Phone: (516) 432-2004
Fax: (516) 432-4154

The enumeration date for this NPI number is 3/23/2006 and was last updated on 10/22/2009.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207RC0000X Internal Medicine Cardiovascular Disease 139593 NY Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 00767813 MEDICAID NY
2 B19674 MEDICARE UPIN
3 85A091 MEDICARE PIN NY

NPI Record

No. Field Name Field Value
1 NPI 1821058124
2 Entity Type Code 1
3 Provider Last Name Legal Name WEITZMAN
4 Provider First Name LEE
5 Provider Middle Name B
6 Provider Credential Text MD
7 Provider First Line Business Practice Location Address 325 W PARK AVE
8 Provider Business Practice Location Address City Name LONG BEACH
9 Provider Business Practice Location Address State Name NY
10 Provider Business Practice Location Address Postal Code 115613223
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 5164322004
13 Provider Business Practice Location Address Fax Number 5164324154
14 Provider Enumeration Date 3/23/2006
15 Last Update Date 10/22/2009
16 Provider Gender Code M
17 Healthcare Provider Taxonomy Code 1 207RC0000X
18 Provider License Number 1 139593
19 Provider License Number State Code 1 NY
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 00767813
22 Other Provider Identifier Type Code 1 05
23 Other Provider Identifier State 1 NY
24 Other Provider Identifier 2 B19674
25 Other Provider Identifier Type Code 2 02
26 Other Provider Identifier 3 85A091
27 Other Provider Identifier Type Code 3 08
28 Other Provider Identifier State 3 NY
29 Is Sole Proprietor Y

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.