Provider Demographics
NPI:1326695388
Name:WEIN, CARA ERICA
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:ERICA
Last Name:WEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 W 131ST ST APT 1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-2197
Mailing Address - Country:US
Mailing Address - Phone:908-839-6039
Mailing Address - Fax:
Practice Address - Street 1:145 W 131ST ST APT 1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-2197
Practice Address - Country:US
Practice Address - Phone:908-839-6039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist