MEDICARE: HANNAH WEINGARTEN BS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1942927298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH WEINGARTEN BS

Provider Business Mailing Address
First Line	:	1742 46TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1286
Country	:	US
Telephone Number	:	929-545-7034
Fax Number	:

Provider Business Practice Location Address
First Line	:	1742 46TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1286
Country	:	US
Telephone Number	:	929-545-7034
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2022
Last Update Date	:	10/26/2022

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