Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35-097407 | OH |
N | 111NI0900X | Internist | 35-097407 | OH |
N | 207R00000X | Internist | MD426047 | PA |
N | 111NI0900X | Internist | MD426047 | PA |
Y | 207RH0002X | Hospice and Palliative Medicine | 35-097407 | OH |
NPI | 1073542072 |
---|---|
Provider Name | Elizabeth Weinstein |
First Address | Cleveland, OH 44195-0002 |
Second Address | Cleveland, OH 44195 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 12/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2715477 | (05) | OH |