Individual
COREY J WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
545 ELMONT RD, ELMONT, NY 11003-4002
(516) 495-7129
(516) 977-2874
Mailing address
545 ELMONT RD, ELMONT, NY 11003-4002
(516) 495-7129
(516) 977-2874
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
239107
NY
2085R0202X
Diagnostic Radiology Physician
MA46748
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05219906
—
NY
Enumeration date
07/12/2006
Last updated
04/25/2017
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