Individual provider · Type 1 NPI

Ivan Gregory Weiner, DC

Chiropractor · Staten Island, NY

NPI number 1740323542 Active

Practice location

468 S Gannon Ave
Staten Island, NY 10314-7610

Fax (718) 477-5739

Mailing address

PO Box 140386
Staten Island, NY 10314-0386

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X009656 (NY)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1740323542

Ivan Gregory Weiner, DC's National Provider Identifier is 1740323542, issued on Feb 14, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Staten Island, NY. The record was last updated on Jan 20, 2011.