Individual
DR. LEO WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 MINEOLA BLVD, SUITE 430, MINEOLA, NY 11501-4064
(516) 742-5353
(516) 742-4207
Mailing address
120 MINEOLA BLVD, SUITE 430, MINEOLA, NY 11501-4064
(516) 742-5353
(516) 742-4207
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
129628-1
NY
207RX0202X
Medical Oncology Physician
Primary
129628-1
NY
Other
Enumeration date
11/27/2006
Last updated
06/24/2013
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