Healthcare Provider Details

I. General information

NPI: 1871403139
Provider Name (Legal Business Name): SHERYL WIENER SPEECH-LANGUAGE PATHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 CLEARY CT
GARNERVILLE NY
10923-1939
US

IV. Provider business mailing address

5 CLEARY CT
GARNERVILLE NY
10923-1939
US

V. Phone/Fax

Practice location:
  • Phone: 862-823-0694
  • Fax:
Mailing address:
  • Phone: 845-445-7669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SHERYL WIENER
Title or Position: OWNER
Credential:
Phone: 845-445-7669