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Individual

CLIFFORD WEINGARTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2 LEEFIELD GATE, MELVILLE, NY 11747-1612
(631) 427-7651
(631) 549-1526
Mailing address
2 LEEFIELD GATE, MELVILLE, NY 11747-1612
(631) 427-7651
(631) 549-1526

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
083595
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00623318
NY
Enumeration date
07/27/2005
Last updated
09/29/2010
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