Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 216398 | NY |
N | 111NI0900X | Internist | 216398 | NY |
Y | 207RR0500X | Rheumatology | 216398 | NY |
NPI | 1134303654 |
---|---|
Provider Name | Dr. Jill D. Weintraub |
First Address | Mamaroneck, NY 10543-1000 |
Second Address | Mamaroneck, NY 10543-1000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2007 |
Last Update Date | 10/03/2021 |