Provider Demographics
NPI:1306287537
Name:WEINBERG, HADASSAH (MS)
Entity type:Individual
Prefix:
First Name:HADASSAH
Middle Name:
Last Name:WEINBERG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1085 E 17TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4412
Mailing Address - Country:US
Mailing Address - Phone:718-252-7585
Mailing Address - Fax:718-252-4655
Practice Address - Street 1:1085 E 17TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-4412
Practice Address - Country:US
Practice Address - Phone:718-252-7585
Practice Address - Fax:718-252-4655
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY748181131174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist