MEDICARE: DR. NADINE WEINGARTEN-EDUT DC

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	111N00000X	Chiropractor	X013270-01	NY

General Provider Information

NPI Number	:	1700434800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NADINE WEINGARTEN-EDUT DC

Provider Business Mailing Address
First Line	:	222 PURCHASE ST # 165
Second Line	:
City	:	RYE
State	:	NY
Zip	:	10580-2101
Country	:	US
Telephone Number	:	914-306-2399
Fax Number	:

Provider Business Practice Location Address
First Line	:	2589 THIRD AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10454
Country	:	US
Telephone Number	:	914-306-2399
Fax Number	:

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

Provider Enumeration Date	:	09/01/2019
Last Update Date	:	05/22/2024

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