Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 004215-1 | NY |
NPI | 1124263074 |
---|---|
Provider Name | Mrs. Janet Anne Weinberger |
First Address | Irvington, NY 10533-2609 |
Second Address | Irvington, NY 10533-2609 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2008 |
Last Update Date | 20/06/2012 |