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Organization

MORTON B WEINBERG MD PC

Active
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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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