Individual
DR. SUSAN WEINSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
15 W 65TH ST, NEW YORK, NY 10023-6601
(212) 769-6313
Mailing address
18445 AVON RD, JAMAICA, NY 11432-5820
(718) 591-0684
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV006261
NY
156FC0800X
Contact Lens Technician/Technologist
TUV006261
NY
156FC0801X
Contact Lens Fitter
TUV006261
NY
156FX1700X
Ocularist
TUV006261
NY
156FX1900X
Orthoptist
Primary
TUV006261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T0062611
—
NY
Enumeration date
11/15/2006
Last updated
09/11/2025
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