Individual
ALEXIS MICHELLE WEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, SLP
Contact information
Practice address
299 HALLOCK AVE, PORT JEFF STA, NY 11776
(631) 473-4284
Mailing address
6 BUSHWICK ST, MELVILLE, NY 11747-1202
(631) 805-4367
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
027810
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2017
Last updated
07/17/2018
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