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NPI Code Detail

MEDICARE: DR. ROBERT IRA WEINER MD

MEDICARE:  DR. ROBERT IRA WEINER  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 Physician136837NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841270444
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT IRA WEINER MD
Provider Business Mailing Address
First Line : 2352 RALPH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5515
Country : US
Telephone Number : 718-251-0200
Fax Number : 718-209-5697
Provider Business Practice Location Address
First Line : 2352 RALPH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5515
Country : US
Telephone Number : 718-251-0200
Fax Number : 718-209-5697
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 05/05/2009

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Directions to “ DR. ROBERT IRA WEINER MD” Practice Location

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