# MITCHELL I. WEINSTEIN, D.O., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437222650
- **Authorized official:** DR. MITCHELL IRA WEINSTEIN D.O. (PRESIDENT)
- **Authorized official phone:** (631) 321-3840

## Contact information

- **Practice address:** 631 MONTAUK HWY STE 2, WEST ISLIP, NY 11795-4400
- **Practice address phone:** (631) 321-3840
- **Practice address fax:** (631) 321-3842
- **Mailing address:** 631 MONTAUK HWY STE 2, WEST ISLIP, NY 11795-4400
- **Mailing address phone:** (631) 321-3840
- **Mailing address fax:** (631) 321-3842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 162637-1 | NY | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 01/10/2022