Provider Demographics
NPI:1447298294
Name:WEINGARTEN, LYNN (CRNA)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:
Last Name:WEINGARTEN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 CENTRAL PARK AVE
Mailing Address - Street 2:APT 134
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-1041
Mailing Address - Country:US
Mailing Address - Phone:914-713-4201
Mailing Address - Fax:
Practice Address - Street 1:500 CENTRAL PARK AVE
Practice Address - Street 2:134
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-1041
Practice Address - Country:US
Practice Address - Phone:914-713-4201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY322720163W00000X, 367500000X
CT003972367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse