1346206711 NPI number — MRS. CHRISTINE LINNEA WEISS LCSW

Table of content: MRS. CHRISTINE LINNEA WEISS LCSW (NPI 1346206711)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346206711 NPI number — MRS. CHRISTINE LINNEA WEISS LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WEISS
Provider First Name:
CHRISTINE
Provider Middle Name:
LINNEA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WEISS
Provider Other First Name:
CHRISTINE
Provider Other Middle Name:
LINNEA
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1346206711
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1045 LONG BEACH RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTH HEMPSTEAD
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11550-7828
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-489-4465
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 N VILLAGE AVE
Provider Second Line Business Practice Location Address:
SUITE 20
Provider Business Practice Location Address City Name:
ROCKVILLE CENTRE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11570-3767
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-505-9742
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/25/2006

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: 1041C0700X , with the licence number:  R036824-1 , 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 © 2007-2025 www.npivalidator.com