NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

PHYLLIS D WEINER, MD
20011 KENO AVE
HOLLIS, NY11423-1435
 Phone: 718-465-8792
 Fax: 718-776-2368
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PHYLLIS D WEINER · (Female)

NPI Number 1003033648
Status Active
Credentials MD
Entity Individual
Enumeration date 04/18/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 092864
  • NY Medicaid 00977615
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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