MEDICARE: MS. SARAH WEINGARTEN D.P.T.

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1538473095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH WEINGARTEN D.P.T.

Provider Business Mailing Address
First Line	:	238 E 77TH ST LOWR LEVEL
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10075-2108
Country	:	US
Telephone Number	:	212-249-5332
Fax Number	:

Provider Business Practice Location Address
First Line	:	575 WHITE PLAINS RD
Second Line	:
City	:	EASTCHESTER
State	:	NY
Zip	:	10709-5500
Country	:	US
Telephone Number	:	212-696-2727
Fax Number	:	212-696-4499

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

Provider Enumeration Date	:	07/27/2010
Last Update Date	:	12/16/2010

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