Provider Demographics
NPI:1104004381
Name:WEINBERG, STEVEN NEIL (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:NEIL
Last Name:WEINBERG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-4639
Mailing Address - Country:US
Mailing Address - Phone:516-249-7858
Mailing Address - Fax:
Practice Address - Street 1:3 WALNUT AVE
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-4639
Practice Address - Country:US
Practice Address - Phone:516-249-7858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-10
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042945183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist