Provider Demographics
NPI:1114245644
Name:WEINSTEIN, TAMARA BETH (MS, PT)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:BETH
Last Name:WEINSTEIN
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Gender:F
Credentials:MS, PT
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Mailing Address - Street 1:8 MISTY BROOK LN
Mailing Address - Street 2:
Mailing Address - City:NEW FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06812-2308
Mailing Address - Country:US
Mailing Address - Phone:914-261-4097
Mailing Address - Fax:914-940-6368
Practice Address - Street 1:272 N BEDFORD RD
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-1103
Practice Address - Country:US
Practice Address - Phone:914-471-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY015058-12251C2600X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No2251C2600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistCardiopulmonary