Provider Demographics
NPI:1750830089
Name:WEINRIT, LYNN B
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:B
Last Name:WEINRIT
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 1:4 LAKEVIEW TRL
Mailing Address - Street 2:
Mailing Address - City:SALISBURY MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:12577-5408
Mailing Address - Country:US
Mailing Address - Phone:845-496-0347
Mailing Address - Fax:
Practice Address - Street 1:4 LAKEVIEW TRL
Practice Address - Street 2:
Practice Address - City:SALISBURY MILLS
Practice Address - State:NY
Practice Address - Zip Code:12577-5408
Practice Address - Country:US
Practice Address - Phone:845-496-0347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-28
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY626550-1163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY626550-1OtherREGISTERED NURSE