Individual
NICOLA SUSAN WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
120 5TH AVENUE, NYACK, NY 10960-1916
(845) 358-1166
Mailing address
120 5TH AVENUE, NYACK, NY 10960-1916
(845) 358-1166
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
022337-1
NY
Other
Enumeration date
09/16/2006
Last updated
02/03/2012
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