Provider Demographics
NPI:1396584793
Name:WEEKES, ALTON
Entity type:Individual
Prefix:MR
First Name:ALTON
Middle Name:
Last Name:WEEKES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 E 126TH ST APT 522
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-1856
Mailing Address - Country:US
Mailing Address - Phone:917-709-9915
Mailing Address - Fax:
Practice Address - Street 1:158 E 126TH ST APT 522
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-1856
Practice Address - Country:US
Practice Address - Phone:917-709-9915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach