Provider Demographics
NPI:1952338824
Name:WEINBERG, MARGOT HILARY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGOT
Middle Name:HILARY
Last Name:WEINBERG
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 1:20 OFFICE PARK WAY
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-1718
Mailing Address - Country:US
Mailing Address - Phone:585-738-9204
Mailing Address - Fax:585-383-9204
Practice Address - Street 1:20 OFFICE PARK WAY
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-1718
Practice Address - Country:US
Practice Address - Phone:585-738-9204
Practice Address - Fax:585-383-9204
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206117208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY010206117OtherBLUE CHOICE
NY01919OtherBLUE CROSS/BLUE SHIELD
NY5324726OtherAETNA
NY01806160Medicaid
NY102922DLOtherPREFERRED CARE
NY01806160Medicaid
NY102922DLOtherPREFERRED CARE