Dr. Phyllis Dunn Weiner
Pediatrician
20011 Keno Ave
Hollis
, New York 11423-1435
Dr. Phyllis Dunn Weiner
Pediatrician
20011 Keno Ave
Hollis
, New York 11423-1435
(718) 776-2368
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Phyllis Dunn Weiner
- 20011 Keno Ave
- Hollis, NY
- Zip : 11423-1435
- Fax : (718) 776-2368
- Phone : (718) 465-8792
Second Address
- Dr. Phyllis Dunn Weiner
- 20011 Keno Ave
- Hollis, NY
- Zip : 11423-1435
- Fax : (718) 776-2368
- Phone : (718) 465-8792
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 092864 | NY |
National Provider Identifier
| NPI | 1003033648 |
|---|---|
| Provider Name | Dr. Phyllis Dunn Weiner |
| First Address | Hollis, NY 11423-1435 |
| Second Address | Hollis, NY 11423-1435 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00977615 | (05) | NY |
| F29927 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.