Provider Demographics
NPI:1962526699
Name:WEINGARTEN, CAROL JOYCE
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:JOYCE
Last Name:WEINGARTEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 WEST 76TH STREET
Mailing Address - Street 2:APT 6A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-1510
Mailing Address - Country:US
Mailing Address - Phone:212-874-6156
Mailing Address - Fax:
Practice Address - Street 1:60 WEST 76TH STREET
Practice Address - Street 2:APT 6A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-1510
Practice Address - Country:US
Practice Address - Phone:212-874-6156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0017751171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist