Organization
MORTON B WEINBERG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE LEE LAVE (BILLING/OFFICE MANAGER)
(631) 265-2928
Entity
Organization
Contact information
Practice address
373 ROUTE 111, SUITE 10, SMITHTOWN, NY 11787-4759
(631) 265-2928
(631) 366-4545
Mailing address
373 ROUTE 111, SUITE 10, SMITHTOWN, NY 11787-4759
(631) 265-2928
(631) 366-4545
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
083410
NY
207ND0101X
MOHS-Micrographic Surgery Physician
083410
NY
207NS0135X
Procedural Dermatology Physician
083410
NY
Other
Enumeration date
11/13/2009
Last updated
01/27/2010
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