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NPI Code Detail

MEDICARE: MRS. SHAINDY WEISSMAN LMSW

MEDICARE: MRS. SHAINDY WEISSMAN LMSW
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
1104100000XSocial Worker112656-01NY

General Provider Information

NPI Number : 1992468847
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHAINDY WEISSMAN LMSW
Provider Business Mailing Address
First Line : 1872 48TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-1238
Country : US
Telephone Number : 646-772-2015
Fax Number :
Provider Business Practice Location Address
First Line : 4102 13TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-1389
Country : US
Telephone Number : 718-400-9988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2021
Last Update Date : 10/18/2021

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