Individual
BENNETT WEINSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
22 NICOLE LOOP, STATEN ISLAND, NY 10301-4634
(718) 448-1853
Mailing address
22 NICOLE LOOP, STATEN ISLAND, NY 10301-4634
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009904
NY
Other
Enumeration date
05/28/2007
Last updated
07/08/2007
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