Provider Demographics
NPI:1669688172
Name:WEINGARTEN, MERRI (PHD)
Entity Type:Individual
Prefix:DR
First Name:MERRI
Middle Name:
Last Name:WEINGARTEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2846
Mailing Address - Country:US
Mailing Address - Phone:917-743-6059
Mailing Address - Fax:212-879-3883
Practice Address - Street 1:829 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2846
Practice Address - Country:US
Practice Address - Phone:917-743-6059
Practice Address - Fax:212-879-3883
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007461103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical