1437309390 NPI number — MRS. MARIE ARLENE WEINSTEIN RPT

Table of content: MRS. MARIE ARLENE WEINSTEIN RPT (NPI 1437309390)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437309390 NPI number — MRS. MARIE ARLENE WEINSTEIN RPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WEINSTEIN
Provider First Name:
MARIE
Provider Middle Name:
ARLENE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437309390
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/26/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1108 SOUTH CREEK DR.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEBSTER
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
16580
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-872-9057
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6884 MAPLE AVE.
Provider Second Line Business Practice Location Address:
BLOSSOM VIEW OUTPATIENT REHABILITATION CENTER
Provider Business Practice Location Address City Name:
SODUS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14551
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-483-2000
Provider Business Practice Location Address Fax Number:
315-483-9432
Provider Enumeration Date:
09/26/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  003672 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com