| Doctor Name: | MINDY S LOREN-WEINER |
| NPI Number: | 1033208780 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NPP |
| License Number: | 330336 |
| Business Practice Address: | 6732 185th St Fresh Meadows, NY - 113653512 |
| Business Phone Number: | 7183804989 |
| Business Fax Number: | |
| Mailing Address: | 6732 185th St, FRESH MEADOWS |
| State: | NY |
| Postal Code: | 113653512 |
| Phone Number: | 7183804989 |
| Fax Number: | |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 08/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0807X |
| License Number: | 330336 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
| Taxonomy Definition: | |