Individual
MR. JOSHUA LORIN WEINTRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1176 5TH AVE, NEW YORK, NY 10029-6503
(212) 241-6381
(212) 410-1973
Mailing address
1176 5TH AVE, NEW YORK, NY 10029-6503
(212) 241-6381
(212) 410-1973
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
216315
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
216315
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02040742
—
NY
Enumeration date
09/16/2006
Last updated
10/31/2019
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