Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 037064-1 | NY |
N | 2251P0200X | Physical Therapist - Pediatrics | 037064-1 | NY |
NPI | 1093137721 |
---|---|
Provider Name | Sarah Weissman |
First Address | Brooklyn, NY 11219-1012 |
Second Address | Brooklyn, NY 11219-1012 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2014 |
Last Update Date | 15/01/2014 |