Individual
MRS. BONNIE G WEINTRAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
627 BROADWAY, STE.200, MASSAPEQUA, NY 11758-5031
(516) 221-4354
(516) 221-4354
Mailing address
3610 SUMMER DR, WANTAGH, NY 11793-2780
(516) 679-5878
(516) 679-5878
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R032557-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7402636
BEHAVIORAL HEALTH PROVIDE
NY
01
—
P75993
BEHAVIORAL HEALTH PROVIDE
NY
Enumeration date
02/07/2007
Last updated
07/08/2007
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