Provider Demographics
NPI:1124099254
Name:WEINBERG, STEPHEN S (DC)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:S
Last Name:WEINBERG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 LEXINGTON AVE
Mailing Address - Street 2:#LL3
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-2935
Mailing Address - Country:US
Mailing Address - Phone:212-995-1515
Mailing Address - Fax:212-995-2335
Practice Address - Street 1:50 LEXINGTON AVE
Practice Address - Street 2:#LL3
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-2935
Practice Address - Country:US
Practice Address - Phone:212-995-1515
Practice Address - Fax:212-995-2335
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-27
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005201-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY133542171OtherMPN
NY0012122OtherGHI
NY133542171OtherUNITED HEALTHCARE
NYP2095240OtherOXFORD
NYC05201-1OtherWORKERS COMPENSATION
NY133542171OtherAETNA
NY133542171OtherEMPIRE BLUE CROSS
NY526578OtherAETNA
NY133542171OtherLANDMARK
NY133542171OtherCIGNA
NY133542171OtherASHN
NY133542171OtherASHN