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Individual

DR. HOWARD D WEINBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1850 ROUTE 112, SUITE L, CORAM, NY 11727-2232
(631) 736-6161
(631) 736-1912
Mailing address
1850 ROUTE 112, SUITE L, CORAM, NY 11727-2232
(631) 736-6161
(631) 736-1912

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004022-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0027794
GHI
NY
05
00656377
NY
Enumeration date
10/31/2006
Last updated
08/15/2012
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