Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A149924 | CA |
N | 207YP0228X | Pediatric Otolaryngology | A149924 | CA |
NPI | 1003108879 |
---|---|
Provider Name | Dr. Jacqueline Eva Weinstein |
First Address | Brooklyn, NY 11214-4437 |
Second Address | San Francisco, CA 94143-2202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2011 |
Last Update Date | 17/03/2018 |