Provider Demographics
NPI:1326302530
Name:WEINBERGER, HARRIET (MSED)
Entity Type:Individual
Prefix:
First Name:HARRIET
Middle Name:
Last Name:WEINBERGER
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 TOWNE ST
Mailing Address - Street 2:APT 518
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-5930
Mailing Address - Country:US
Mailing Address - Phone:914-645-8605
Mailing Address - Fax:203-553-9040
Practice Address - Street 1:121 TOWNE ST
Practice Address - Street 2:APT 518
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-5930
Practice Address - Country:US
Practice Address - Phone:914-645-8605
Practice Address - Fax:203-553-9040
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY581893941174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist