Individual
LARRY J. WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
58 W 70TH ST, SUITE 7, NEW YORK, NY 10023-4619
(212) 362-0030
Mailing address
58 W 70TH ST, SUITE 7, NEW YORK, NY 10023-4619
(212) 362-0030
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
175517
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
175517
NY
2084N0400X
Neurology Physician
175517
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01777499
—
NY
Enumeration date
06/16/2006
Last updated
08/01/2012
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