Provider Demographics
NPI:1982023982
Name:WEINBERG, MICHAEL H (RPA-C)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:H
Last Name:WEINBERG
Suffix:
Gender:M
Credentials:RPA-C
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Mailing Address - Street 1:264 WASHINGTON AVENUE EXT
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-6352
Mailing Address - Country:US
Mailing Address - Phone:518-452-1928
Mailing Address - Fax:518-362-1348
Practice Address - Street 1:2 EXECUTIVE PARK DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-3700
Practice Address - Country:US
Practice Address - Phone:518-452-1928
Practice Address - Fax:518-362-1348
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2023-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY017437363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant