Provider Demographics
NPI:1316027030
Name:WEINSTEIN, PAUL DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:DAVID
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2700 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:PURCHASE
Mailing Address - State:NY
Mailing Address - Zip Code:10577-2547
Mailing Address - Country:US
Mailing Address - Phone:914-682-6538
Mailing Address - Fax:914-457-1583
Practice Address - Street 1:1075 CENTRAL PARK AVENUE
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-3242
Practice Address - Country:US
Practice Address - Phone:914-725-6688
Practice Address - Fax:914-725-6860
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY164817207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
70F791OtherEMPIRE BCBS OF NY
561130OtherUNITED HEALTH CARE
NY01808584Medicaid
133598462OtherCONSUMER HEALTH NETWORK
133598462OtherUNITED HEALTH CARE
1C8612OtherHEALTHNET
P010164817OtherCORE SOURCE
WP371OtherOXFORD
133598462OtherCIGNA
NY290003844OtherRR MEDICARE
WP371OtherOXFORD
NY01808584Medicaid