Provider Demographics
NPI:1164571733
Name:WEINSTEIN, KAREN B (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:B
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:WEINSTEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:24 E 82ND ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0344
Mailing Address - Country:US
Mailing Address - Phone:212-873-4512
Mailing Address - Fax:
Practice Address - Street 1:24 E 82ND ST APT 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0344
Practice Address - Country:US
Practice Address - Phone:212-873-4512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016003103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical