1235219957 NPI number — DR. HARRY WEINSTEIN MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235219957 NPI number — DR. HARRY WEINSTEIN MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

WEINSTEIN

Provider First Name:

HARRY

Provider Middle Name:

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1235219957

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

04/20/2024

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

2700 WESTCHESTER AVE

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

PURCHASE

Provider Business Mailing Address State Name:

NY

Provider Business Mailing Address Postal Code:

10577-2547

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

914-682-6538

Provider Business Mailing Address Fax Number:

914-457-1583

Provider First Line Business Practice Location Address:

73 MARKET ST

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

YONKERS

Provider Business Practice Location Address State Name:

NY

Provider Business Practice Location Address Postal Code:

10710-7616

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

914-848-8050

Provider Business Practice Location Address Fax Number:

914-848-8051

Provider Enumeration Date:

10/17/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207R00000X , with the licence number:  79539 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
• Taxonomy code: 207RR0500X , with the licence number: 79539 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

• Identifier: 1352505 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 133598462 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 133598462 . This is a "CONSUMER HEALTH NETWORK" identifier . This identifiers is of the category "OTHER".
• Identifier: 290003384 . This is a "CORE SOURCE" identifier . This identifiers is of the category "OTHER".
• Identifier: 544493 . This is a "AETNA US HEALTHCARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 374761 . This is a "EMPIRE BCBS OF NEW YORK" identifier . This identifiers is of the category "OTHER".
• Identifier: 000000026827 . This is a "GHI HMO" identifier . This identifiers is of the category "OTHER".
• Identifier: P62920363 . This is a "MULTIPLAN" identifier . This identifiers is of the category "OTHER".
• Identifier: 133598462 . This is a "PHCS" identifier . This identifiers is of the category "OTHER".
• Identifier: 1C8612 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: WP391 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
• Identifier: 002452 . This is a "CONNECTICARE OF NY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".