Organization
MITCHELL I. WEINSTEIN, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL IRA WEINSTEIN D.O. (PRESIDENT)
(631) 321-3840
Entity
Organization
Contact information
Practice address
631 MONTAUK HWY STE 2, WEST ISLIP, NY 11795-4400
(631) 321-3840
(631) 321-3842
Mailing address
631 MONTAUK HWY STE 2, WEST ISLIP, NY 11795-4400
(631) 321-3840
(631) 321-3842
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
162637-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01416811
—
NY
Enumeration date
11/16/2006
Last updated
01/10/2022
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