Provider Demographics
NPI:1245394329
Name:WEINSTEIN-BROWN, MINDI L (SLP)
Entity Type:Individual
Prefix:
First Name:MINDI
Middle Name:L
Last Name:WEINSTEIN-BROWN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 HEMPSTEAD TURNPIKE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552
Mailing Address - Country:US
Mailing Address - Phone:516-505-2200
Mailing Address - Fax:516-505-5416
Practice Address - Street 1:300 HEMPSTEAD TPKE
Practice Address - Street 2:SUITE 3
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-1450
Practice Address - Country:US
Practice Address - Phone:516-505-2200
Practice Address - Fax:516-505-5416
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007681235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP1069593OtherOXFORD
NY1981108Medicaid
NYM10261OtherEMPIRE BLUE CROSS BLUE SH
NY007681OtherHIP
NY3C2867OtherPHS
NY4901191OtherGHI
NY2710500OtherAETNA