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NPI Code Detail

MEDICARE: DR. HOWARD MARTIN WEINTRAUB MD

MEDICARE: DR. HOWARD MARTIN WEINTRAUB MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician159072NY

General Provider Information

NPI Number : 1366543324
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOWARD MARTIN WEINTRAUB MD
Provider Business Mailing Address
First Line : 55 WATER ST
Second Line : 12TH FLOOR, CREDENTIALING
City : NEW YORK
State : NY
Zip : 10041-0004
Country : US
Telephone Number : 646-680-2888
Fax Number : 516-542-5556
Provider Business Practice Location Address
First Line : 3245 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3716
Country : US
Telephone Number : 718-615-3777
Fax Number : 718-615-3717
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 11/10/2017

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