Basic Information
| Provider Information | |||||||||
| NPI: | 1184892796 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WEIR | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | CHAPPELL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 425 E 61ST ST | ||||||||
| Address2: | 4TH FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100658722 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6469622333 | ||||||||
| FaxNumber: | 6469620330 | ||||||||
| Practice Location | |||||||||
| Address1: | 425 E 61ST ST | ||||||||
| Address2: | 4TH FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100658722 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6469622333 | ||||||||
| FaxNumber: | 6469620330 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/16/2008 | ||||||||
| LastUpdateDate: | 11/01/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 242469 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | A111619 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RP1001X | 242469 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 207RC0200X | 242469 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
No ID Information.