Healthcare Provider Details

I. General information

NPI: 1790352300
Provider Name (Legal Business Name): DOWNTOWN BROOKLYN MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2021
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 MAIDEN LN RM 905
NEW YORK NY
10038-4675
US

IV. Provider business mailing address

80 MAIDEN LN
NEW YORK NY
10038-0363
US

V. Phone/Fax

Practice location:
  • Phone: 212-347-7444
  • Fax:
Mailing address:
  • Phone: 212-347-7444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID B WEINTRAUB
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 516-946-1410