Healthcare Provider Details

I. General information

NPI: 1174757199
Provider Name (Legal Business Name): CATHERINE RUTH WEINBERG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2009
Last Update Date: 05/16/2023
Certification Date: 05/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 E 32ND ST STE 801
NEW YORK NY
10016
US

IV. Provider business mailing address

451 PARK AVE S FL 2
NEW YORK NY
10016-7390
US

V. Phone/Fax

Practice location:
  • Phone: 212-786-7705
  • Fax: 212-684-4775
Mailing address:
  • Phone: 212-614-0039
  • Fax: 212-253-9631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0002X
TaxonomyAdult Congenital Heart Disease Physician
License Number246041
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number25MA09006200
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number246041
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: