Individual
DR. KEVIN HARRIS WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
262 NELSON AVE, STATEN ISLAND, NY 10308-3206
(718) 442-4422
(718) 556-3025
Mailing address
262 NELSON AVE, STATEN ISLAND, NY 10308-3206
(718) 442-4422
(718) 556-3025
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
202165
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1856625
UHC
NY
01
—
2125718
AETNA HMO
NY
01
—
2700601
GHI
NY
01
—
4C7484
HEALTHNET
NY
01
—
5128695
AETNA PPO
NY
01
—
8U0471
BLUE SHIELD
NY
01
—
P1101731
OXFORD
NY
Enumeration date
07/24/2006
Last updated
09/05/2012
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