Individual
JEFFREY WEINTRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 ROUTE 28, KINGSTON, NY 12401-7446
(516) 922-2640
(516) 922-3724
Mailing address
PO BOX 2622, KINGSTON, NY 12402-2622
(516) 922-2640
(516) 922-3724
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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