Individual
JASON WEINSIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10450 102ND ST, OZONE PARK, NY 11417-2237
(929) 354-1829
Mailing address
10450 102ND ST, OZONE PARK, NY 11417-2237
(929) 354-1829
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171WH0202X
Home Modifications Contractor
—
—
Other
Enumeration date
04/01/2020
Last updated
03/10/2022
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