Individual
DR. PHYLLIS WEINGARTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4 MEDICAL PARK DR, POMONA, NY 10970-3516
(845) 354-6225
(845) 354-6335
Mailing address
8 BAKER LN, SUFFERN, NY 10901-2402
(845) 362-8523
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
173064 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001139414001
UNITED HEALTHCARE
NY
01
—
040426011710
FIDELIS
NY
01
—
0D0325
HEALTHNET
NY
01
—
1000063364
AFFINITY
NY
01
—
460094
AETNA
NY
01
—
56F821
BLUE CROSS BLUE SHIELD
NY
01
—
6863353
CIGNA PPO
NY
01
—
RS134
OXFORD
NY
Enumeration date
10/16/2006
Last updated
05/19/2008
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