Individual
KENNETH PATRICK WEICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
201 E 69TH ST, SUITE 2C, NEW YORK, NY 10021-5471
(212) 861-0862
(212) 744-0383
Mailing address
201 E 69TH ST, SUITE 2C, NEW YORK, NY 10021-5471
(212) 861-0862
(212) 744-0383
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
007325-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1920619
UNITED HEALTHCARE
—
01
—
P986556
OXFORD
NY
01
—
Q43041
BCBS
NY
01
—
WK7325
ATLANTIS
—
Enumeration date
01/10/2006
Last updated
07/08/2007
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