Individual
DR. MITCHELL I WEINSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
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
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01416811
—
NY
Enumeration date
08/22/2005
Last updated
01/10/2022
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