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1609349406
ITAH WEINBERGER
STATEN ISLAND, NY
NPI
1609349406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 023049-1)
Enumeration Date
2019-01-04
Last Update Date
2019-01-04
Business Address
ITAH WEINBERGER
355 BARD AVE
STATEN ISLAND, NY 10310-1664
Phone number: 718-818-1234
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Mailing Address
ITAH WEINBERGER
1440 E 27TH ST
BROOKLYN, NY 11210-5309
Phone number: 718-954-6802
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