Provider Demographics
NPI:1962449983
Name:WEINTRAUB, DINA B (MD)
Entity Type:Individual
Prefix:DR
First Name:DINA
Middle Name:B
Last Name:WEINTRAUB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 E 49TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1697
Mailing Address - Country:US
Mailing Address - Phone:212-375-1001
Mailing Address - Fax:212-375-1105
Practice Address - Street 1:340 E 49TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1697
Practice Address - Country:US
Practice Address - Phone:212-375-1001
Practice Address - Fax:212-375-1105
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198645207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology