Provider Demographics
NPI:1801506639
Name:WEINBERG, SHAYNA SARA RAIZEL (CIC-CSP, CD(DONA))
Entity type:Individual
Prefix:MRS
First Name:SHAYNA
Middle Name:SARA RAIZEL
Last Name:WEINBERG
Suffix:
Gender:F
Credentials:CIC-CSP, CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 KRIEGER BLVD
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:12789-5316
Mailing Address - Country:US
Mailing Address - Phone:718-913-0161
Mailing Address - Fax:
Practice Address - Street 1:36 KRIEGER BLVD
Practice Address - Street 2:
Practice Address - City:WOODRIDGE
Practice Address - State:NY
Practice Address - Zip Code:12789-5316
Practice Address - Country:US
Practice Address - Phone:718-913-0161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program