Provider Demographics
NPI:1518199421
Name:WEINBERGER, GITI (MSCCC)
Entity Type:Individual
Prefix:MRS
First Name:GITI
Middle Name:
Last Name:WEINBERGER
Suffix:
Gender:F
Credentials:MSCCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1745 58TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-2236
Mailing Address - Country:US
Mailing Address - Phone:718-232-6894
Mailing Address - Fax:718-232-9219
Practice Address - Street 1:1745 58TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-2236
Practice Address - Country:US
Practice Address - Phone:718-232-6894
Practice Address - Fax:718-232-9219
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-12
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3981235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist