| Christine C Weiland Inc | |
|
3114 Nostrand Ave Brooklyn NY 11229-2601 | |
| (718) 595-0540 | |
| (718) 252-3964 |
| Full Name | Christine C Weiland Inc |
|---|---|
| Speciality | Social Worker |
| Location | 3114 Nostrand Ave, Brooklyn, New York |
| Authorized Official Name and Position | Christine C Weiland (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9178814296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine C Weiland Inc 3114 Nostrand Ave Brooklyn NY 11229-2601 Ph: (718) 595-0540 | Christine C Weiland Inc 3114 Nostrand Ave Brooklyn NY 11229-2601 Ph: (718) 595-0540 |
| NPI Number | 1033669635 |
|---|---|
| Provider Enumeration Date | 10/06/2016 |
| Last Update Date | 10/25/2022 |
| Certification Date | 10/25/2022 |
| Medicare PECOS PAC ID | 0648551606 |
|---|---|
| Medicare Enrollment ID | O20170105000933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033669635 | NPI | - | NPPES |
| 04018920 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R0325521 (New York) | Primary |
| Provider Name | Christine Catherine Weiland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164670584 PECOS PAC ID: 5294956314 Enrollment ID: I20141014001991 |
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