Individual
DR. PHYLLIS DUNN WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20011 KENO AVE, HOLLIS, NY 11423-1435
(718) 465-8792
(718) 776-2368
Mailing address
20011 KENO AVE, HOLLIS, NY 11423-1435
(718) 465-8792
(718) 776-2368
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
092864
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00977615
—
NY
Enumeration date
04/18/2007
Last updated
07/08/2007
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