Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | NY00240 | NY |
NPI | 1629151345 |
---|---|
Provider Name | Dr. Joann Weinrib |
First Address | New York, NY 10011-7489 |
Second Address | New York, NY 10011-7489 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 18/11/2008 |