# LEE WEINER, DC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457622276
- **Authorized official:** DR. LEE WEINER (OWNER)
- **Authorized official phone:** (516) 255-0272

## Contact information

- **Practice address:** 9A DAVISON AVE W, OCEANSIDE, NY 11572-2132
- **Practice address phone:** (516) 255-0272
- **Practice address fax:** (516) 255-9130
- **Mailing address:** 9A DAVISON AVE W, OCEANSIDE, NY 11572-2132
- **Mailing address phone:** (516) 255-0272
- **Mailing address fax:** (516) 255-9130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X09660 | NY | Yes |

## Other

- **Enumeration date:** 01/25/2012
- **Last updated:** 04/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | X4E051 | MEDICARE PTAN | — |