Provider Demographics
NPI:1679287049
Name:WEINER, CLAUDINE (ATC)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDINE
Middle Name:
Last Name:WEINER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 EASTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SOUND BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11789-1021
Mailing Address - Country:US
Mailing Address - Phone:631-252-5883
Mailing Address - Fax:
Practice Address - Street 1:380 OLD TOWN RD
Practice Address - Street 2:
Practice Address - City:SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-3482
Practice Address - Country:US
Practice Address - Phone:631-730-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer