Provider Demographics
NPI:1689939084
Name:WEINBERG STEINBACH, CINDY W
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:W
Last Name:WEINBERG STEINBACH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 PINEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-5626
Mailing Address - Country:US
Mailing Address - Phone:631-543-6880
Mailing Address - Fax:
Practice Address - Street 1:12 PINEWOOD DR
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-5626
Practice Address - Country:US
Practice Address - Phone:631-543-6880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0906444446174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist