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Individual
STEPHEN S WEINBERG
Active
Individual
STEPHEN S WEINBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005201-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012122
GHI
NY
01
—
133542171
MPN
NY
01
—
526578
AETNA
NY
01
—
C05201-1
WORKERS COMPENSATION
NY
01
—
P2095240
OXFORD
NY
Enumeration date
01/27/2006
Last updated
11/05/2010
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