Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | TUV006261 | NY |
N | 156FC0800X | Contact Lens | TUV006261 | NY |
N | 156FC0801X | Contact Lens Fitter | TUV006261 | NY |
N | 156FX1700X | Ocularist | TUV006261 | NY |
N | 156FX1900X | Orthoptist | TUV006261 | NY |
NPI | 1942372529 |
---|---|
Provider Name | Dr. Susan Weinstein |
First Address | Jamaica, NY 11432-5820 |
Second Address | New York, NY 10023-6601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T0062611 | (05) | NY |
U84728 | (02) | NY |