Individual
KRISTEN WEINMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501
(516) 663-0333
Mailing address
5 ASTRONOMY LN, LEVITTOWN, NY 11756-4301
(516) 729-8405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
018863
NY
363AS0400X
Surgical Physician Assistant
Primary
018863
NY
Other
Enumeration date
07/17/2015
Last updated
07/27/2015
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