Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 162139 | NY |
NPI | 1194802173 |
---|---|
Provider Name | Dr. Judith Weinstock |
First Address | Brooklyn, NY 11201 |
Second Address | Brooklyn, NY 11201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 28/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00981631 | (05) | NY |
A64161 | (02) | NY |