Individual
KERRI K WEINGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1305 FRANKLIN AVE, SUITE 100, GARDEN CITY, NY 11530-1657
(516) 746-5550
Mailing address
532 BROADHOLLOW RD, SUITE 142, MELVILLE, NY 11747-3672
(516) 931-0041
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F302658
NY
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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