MEDICARE: MIRIAM WEINSTEIN MS

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1245536978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRIAM WEINSTEIN MS

Provider Business Mailing Address
First Line	:	1860 54TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1545
Country	:	US
Telephone Number	:	718-331-0217
Fax Number	:

Provider Business Practice Location Address
First Line	:	1860 54TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1545
Country	:	US
Telephone Number	:	718-331-0217
Fax Number	:

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

Provider Enumeration Date	:	01/27/2011
Last Update Date	:	01/27/2011

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Directions to “ MIRIAM WEINSTEIN MS” Practice Location

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