Individual
LES WEINBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2780 MIDDLE COUNTRY RD, LAKE GROVE, NY 11755-2124
(631) 737-1782
(631) 737-1782
Mailing address
2780 MIDDLE COUNTRY RD, LAKE GROVE, NY 11755-2124
(631) 737-1782
(631) 210-9919
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5820
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440419
—
NY
Enumeration date
07/25/2006
Last updated
05/20/2024
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