Provider Demographics
NPI:1043448707
Name:WEINSTEIN, LILI (MD)
Entity Type:Individual
Prefix:DR
First Name:LILI
Middle Name:
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LILI
Other - Middle Name:
Other - Last Name:WEINSTEIN DECOSTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6838 YELLOWSTONE BLVD APT A32
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3428
Mailing Address - Country:US
Mailing Address - Phone:914-282-1503
Mailing Address - Fax:
Practice Address - Street 1:6838 YELLOWSTONE BLVD APT A32
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-3428
Practice Address - Country:US
Practice Address - Phone:914-282-1503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program