Individual
PHILIP J. WEINGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1207 E MAIN ST, SUITE 2, ENDICOTT, NY 13760-5219
(607) 754-2440
Mailing address
1207 E MAIN ST, SUITE 2, ENDICOTT, NY 13760-5219
(607) 754-2440
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
0050841
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01258231
—
NY
01
—
1841375912
BLUE CROSS BLUE SHIELD
NY
01
—
NY5084
EYEMED
NY
Enumeration date
03/10/2009
Last updated
03/10/2009
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