Individual
MR. JERRY J WEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
666 LEXINGTON AVENUE, STE 100, MT. KISCO, NY 10549-3637
(914) 666-4346
(914) 666-5848
Mailing address
666 LEXINGTON AVENUE, STE 100, MT. KISCO, NY 10549-3637
(914) 666-4346
(914) 666-5848
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
159368
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17F87WS371
RAILROAD MEDICARE
NY
Enumeration date
05/18/2006
Last updated
05/28/2008
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