Healthcare Provider Details

I. General information

NPI: 1730002726
Provider Name (Legal Business Name): ERIC S WEINER DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WESTGATE
ELMONT NY
11003-2428
US

IV. Provider business mailing address

59 PLEASANTVIEW DR
CENTRAL ISLIP NY
11722-4691
US

V. Phone/Fax

Practice location:
  • Phone: 516-225-4546
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: ERIC WEINER
Title or Position: OWNER
Credential: DDS
Phone: 516-225-4546