Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | XOO3659-1 | NY |
NPI | 1336263268 |
---|---|
Provider Name | Dr. Amram Weiner |
First Address | New York, NY 10021-6797 |
Second Address | New York, NY 10021-6797 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2007 |
Last Update Date | 31/10/2007 |