Provider Demographics
NPI:1366686396
Name:TIMMINS, DANA WEISSMAN (DC)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:WEISSMAN
Last Name:TIMMINS
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 1:110 BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-3527
Mailing Address - Country:US
Mailing Address - Phone:516-809-9191
Mailing Address - Fax:516-809-9192
Practice Address - Street 1:110 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-3527
Practice Address - Country:US
Practice Address - Phone:516-809-9191
Practice Address - Fax:516-809-9192
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2011-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010656-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor