Provider Demographics
NPI:1750454013
Name:WEINREB, ARTHUR (DPM)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:WEINREB
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 QUAKER RIDGE ROAD
Mailing Address - Street 2:SUITE # 104
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804
Mailing Address - Country:US
Mailing Address - Phone:914-636-2363
Mailing Address - Fax:914-636-7781
Practice Address - Street 1:77 QUAKER RIDGE ROAD
Practice Address - Street 2:SUITE # 104
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804
Practice Address - Country:US
Practice Address - Phone:914-636-2363
Practice Address - Fax:914-636-7781
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004288213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
584912OtherAETNA
NY01066655Medicaid
WS840OtherOXFORD
0007752OtherGHI
06289360001OtherSIGNA
1C0649OtherHEALTHNET
WS840OtherOXFORD
06289360001OtherSIGNA