Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 135948 | NY |
NPI | 1013915974 |
---|---|
Provider Name | Joseph Weinstein |
First Address | Garden City, NY 11530-2136 |
Second Address | Bethpage, NY 11714-5701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 18/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C10122 | (02) | NY |