Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251C2600X | Cardiopulmonary | 015058-1 | NY |
Y | 2251P0200X | Physical Therapist - Pediatrics | 015058-1 | NY |
NPI | 1114245644 |
---|---|
Provider Name | Tamara Beth Weinstein |
First Address | New Fairfield, CT 06812-2308 |
Second Address | Mount Kisco, NY 10549-1103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2010 |
Last Update Date | 07/05/2010 |