Provider Demographics
NPI:1477821023
Name:WEINSTEIN, EMILY A (MS, CCC)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:A
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:MS, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 NANCY BLVD
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-3121
Mailing Address - Country:US
Mailing Address - Phone:516-546-9414
Mailing Address - Fax:
Practice Address - Street 1:42 NANCY BLVD
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-3121
Practice Address - Country:US
Practice Address - Phone:516-546-9414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-11
Last Update Date:2011-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001182-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist