DR. Kenneth Marc Weiner, OD

NPI #1740336866 in Blasdell, New York

Provider Information

NPI Number: 1740336866
Entity Type: Individual
Name: DR. Kenneth Marc Weiner, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jan 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4408 MILESTRIP RD
City: Blasdell
State: New York
ZIP Code: 14219
Phone: (716) 821-9199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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