Individual
DR. RANDY JAE WEINSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1815 FRANCIS LEWIS BLVD, WHITESTONE, NY 11357-3836
(718) 746-8900
Mailing address
1815 FRANCIS LEWIS BLVD, WHITESTONE, NY 11357-3836
(718) 746-8900
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
050783
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03333328
—
NY
Enumeration date
06/09/2007
Last updated
03/29/2012
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