Provider Demographics
NPI:1043216328
Name:WEYMOUTH, SHEILAGH (DC)
Entity Type:Individual
Prefix:DR
First Name:SHEILAGH
Middle Name:
Last Name:WEYMOUTH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 5TH AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-7705
Mailing Address - Country:US
Mailing Address - Phone:212-533-3070
Mailing Address - Fax:212-213-6193
Practice Address - Street 1:224 5TH AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-7705
Practice Address - Country:US
Practice Address - Phone:212-533-3070
Practice Address - Fax:212-213-6193
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2012-07-23
Deactivation Date:2006-03-21
Deactivation Code:
Reactivation Date:2006-04-04
Provider Licenses
StateLicense IDTaxonomies
NYX008366111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU68014Medicare UPIN
NYX92701Medicare PIN