Basic Information
| Provider Information | |||||||||
| NPI: | 1932335833 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WEI | ||||||||
| FirstName: | ERIC | ||||||||
| MiddleName: | KAIHWAN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 347 5TH ST | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112152806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3102100610 | ||||||||
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| Practice Location | |||||||||
| Address1: | 541 CLARKSON AVE | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182453131 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/05/2009 | ||||||||
| LastUpdateDate: | 08/08/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 4301095175 | MI | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | A124539 | CA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 292577 | NY | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | FW2958152 | 01 | DEA | OTHER |