| Joseph S. Weiner, M.d., P.c. | |
|
1010 Northern Blvd Suite 208 Great Neck NY 11021-5317 | |
| (516) 336-2585 | |
| (516) 336-2584 |
| Full Name | Joseph S. Weiner, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1010 Northern Blvd, Great Neck, New York |
| Authorized Official Name and Position | Joseph S. Weiner (PRESIDENT) |
| Authorized Official Contact | 5163362585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph S. Weiner, M.d., P.c. 1010 Northern Blvd Suite 208 Great Neck NY 11021-5317 Ph: (516) 336-2585 | Joseph S. Weiner, M.d., P.c. 1010 Northern Blvd Suite 208 Great Neck NY 11021-5317 Ph: (516) 336-2585 |
| NPI Number | 1063704229 |
|---|---|
| Provider Enumeration Date | 05/06/2011 |
| Last Update Date | 05/06/2011 |
| Medicare PECOS PAC ID | 2668658931 |
|---|---|
| Medicare Enrollment ID | O20110520000645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063704229 | NPI | - | NPPES |
| 01265067 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0015X | Psychiatry & Neurology - Psychosomatic Medicine | 177126 (New York) | Primary |
| Provider Name | Joseph S Weiner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023168929 PECOS PAC ID: 6800978479 Enrollment ID: I20080205000240 |
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